Individual provider Active NPI

Miriam Klein Goldstien, MACCCSLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1255637732
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00556600 Issued in NJ
Practice address
524 Seton Cir
Lakewood, NJ 08701-1525
Phone
(732) 942-1235
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00556600 NJ Primary

Addresses

Primary practice location

524 Seton Cir
Lakewood, NJ 08701-1525

Mailing address

524 Seton Cir
Lakewood, NJ 08701-1525
Phone (732) 942-1235

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

State licenses

LicenseStateTypeSpecialty
41YS00556600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1255637732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SETON CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011525",
            "telephone_number": "732-942-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SETON CIR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011525",
            "telephone_number": "732-942-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN GOLDSTIEN",
        "first_name": "MIRIAM",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00556600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.