Active NPI
Amy Goldsmith, CDN
- Registered Dietitian
- Roslyn Heights, NY
National Provider Identifier
1366724528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006766
- Practice address
- 216 Willis Ave
Ste 001
Roslyn Heights, NY 11577-2125 - Phone
- (516) 801-0022
- Fax
- (516) 801-0022
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006766 | NY | Primary |
Addresses
Primary practice location
216 Willis Ave
Ste 001
Roslyn Heights, NY 11577-2125
Mailing address
216 Willis Ave
Ste 001
Roslyn Heights, NY 11577-2125
Phone (516) 801-0022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006766 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Specialists, LLC | Dietitian, Registered | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1366724528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 WILLIS AVE",
"address_2": "STE 001",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772125",
"telephone_number": "516-801-0022",
"fax_number": "516-801-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WILLIS AVE",
"address_2": "STE 001",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772125",
"telephone_number": "516-801-0022",
"fax_number": "516-801-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "AMY",
"credential": "CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.