Individual provider Active NPI

Ita Dalia Goldfischer, MED

  • Specialist
  • Chestnut Ridge, NY
National Provider Identifier
1316452527
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
501 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-5600
Phone
(845) 738-4362
NPI assigned
Dec 11, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

501 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-5600

Mailing address

20 Edison CT Apt F
Monsey, NY 10952-1919

Other practice location 1

265 N Highland Ave
Nyack, NY 10960-1442
Phone (845) 208-0074

Other identifiers 1

IdentifierTypeStateIssuer
744214525-00OtherFIDELIS

Other names 1

  • Mrs. Dalia Herskovitz Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316452527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EDISON CT APT F",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHESTNUT RIDGE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775600",
            "telephone_number": "845-738-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601442",
            "country_code": "US",
            "telephone_number": "845-208-0074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDFISCHER",
        "first_name": "ITA",
        "middle_name": "DALIA",
        "name_prefix": "Mrs.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "744214525-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALIA",
            "last_name": "HERSKOVITZ",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.