Active NPI
Sheri L Golden, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1205976180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009836
- Practice address
- MMC - Dept. of Medicine
1825 Eastchester Road
Bronx, NY 10461 - Phone
- (718) 904-2500
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009836 | NY | Primary |
Addresses
Primary practice location
MMC - Dept. of Medicine
1825 Eastchester Road
Bronx, NY 10461
Mailing address
1771 1St Ave
Apt. 11
New York, NY 10128-5920
Phone (718) 904-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230207003137 | CA | Practitioner - Physician Assistant | 9739143330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21537 | CA | MD | Occupational Therapist |
| 009836 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205976180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 1ST AVE",
"address_2": "APT. 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285920",
"telephone_number": "718-904-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMC - DEPT. OF MEDICINE",
"address_2": "1825 EASTCHESTER ROAD",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-904-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "SHERI",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.