Individual provider Active NPI

Aaron Goldman, MED,

  • Behavior Analyst
  • Monroe, NY
National Provider Identifier
1225547698
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
PO8064 Issued in NY
Practice address
105 Schunnemunk Rd Unit 112
Monroe, NY 10950-6257
Phone
(845) 477-5000
Fax
(845) 477-5131
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X PO8064 NY Primary

Addresses

Primary practice location

105 Schunnemunk Rd Unit 112
Monroe, NY 10950-6257

Mailing address

141 Blauvelt Rd Unit 202
Monsey, NY 10952-2572
Phone (347) 779-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PO8064NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Valued Behavior Care Licensed Behavior Analyst PLLC Behavior Analyst Current Accepting new patients
Master Faster Inc. Behavior Analyst Past Accepting new patients
Master Faster Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1225547698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BLAUVELT RD UNIT 202",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522572",
            "telephone_number": "347-779-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SCHUNNEMUNK RD UNIT 112",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109506257",
            "telephone_number": "845-477-5000",
            "fax_number": "845-477-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "MED,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "PO8064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.