Leah Gorham, MPH, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86040250 Issued in NU

Practice address

319 Harvard Ave
Rockville Centre, NY 11570-1624

Phone

(516) 205-4869

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Love & Grits Nutrition

  • Registered Dietitian
  • Rockville Centre, NY
  • NPI 1407526254

  Dietitian, Registered

  NPD Authorized official
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1174130009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HARVARD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HARVARD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701624",
            "telephone_number": "516-205-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "LEAH",
        "credential": "MPH, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86040250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Golyan-Moghanian
• Florencio Abasolo Gomez, MD
• Larry I Good, M.D.
• Shondell N Goodridge
• Priscilla Gordon, CRNA
• Marissa Evers Gorlesky, PT
• Lisa Marie Gorton, LMHC
• Lawrence Gottesman, DDS
• Dennis Jay Gottlieb, LCSW
• Janice Grant, LCSW

• Registered Dietitian in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.