Bonnie Kim Goldberg, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000872-1 Issued in NY

Practice address

850 Hicksville Rd
Suite 104
Seaford, NY 11783-1300

Phone

(516) 798-0141

Fax

(516) 798-0694

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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  • Cardiovascular Disease Physician
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  • NPI 1396794301
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184752941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300",
            "telephone_number": "516-798-0141",
            "fax_number": "516-798-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300",
            "telephone_number": "516-798-0141",
            "fax_number": "516-798-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "BONNIE",
        "middle_name": "KIM",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000872-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Gibson, LCSW
• Michael M. Gillman, M.D.
• Bernadette Ginley
• Zari B Ginsburg, RD
• Lorraine Giummule, NP
• Lester Frederick Goldblum, DO
• Doreen Golub, O.T.R.
• Good Guys Optical, Inc. (Long Island Opticians)
• Maureen Therese Goodheart, MSED
• Mary Ann Gorman, LPN

• Registered Dietitian in Seaford, NY
• Providers in Seaford, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.