NPIMap

Organization Active NPI

Malkie Gold Rd LLC

  • Registered Dietitian
  • Lakewood, NJ
National Provider Identifier
1346937778
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MALKIE GOLD RD LLC
Practice address
47 Rockefeller Dr
Lakewood, NJ 08701-4340
Phone
(845) 641-9442
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Yachat Malka Gold, RDNPI 1538874045
Title
Dietitian
Phone
(845) 641-9442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

47 Rockefeller Dr
Lakewood, NJ 08701-4340

Mailing address

47 Rockefeller Dr
Lakewood, NJ 08701-4340
Phone (845) 641-9442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1346937778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ROCKEFELLER DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014340",
            "telephone_number": "845-641-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROCKEFELLER DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014340",
            "telephone_number": "845-641-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALKIE GOLD RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "YACHAT",
        "authorized_official_middle_name": "MALKA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "845-641-9442",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Apr 18, 2023; 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.