Desiree Ann Goll

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

335479 Issued in NY

Practice address

125 Lake Pointe CT # 125
Middle Island, NY 11953-2018

Phone

(631) 800-4088

NPI assigned

Mar 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1376345710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAKE POINTE CT # 125",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532018",
            "telephone_number": "631-800-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LAKE POINTE CT # 125",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532018",
            "telephone_number": "631-800-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLL",
        "first_name": "DESIREE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Goercke, M.S.
• Aliza Gold
• Halle Goldberg, OTR/L
• Mindy Gayle Goldblatt-Kass, MS CCC LSP
• Lori Goldstein, MED.
• Cassandra M Gonzalez, LCSW
• Diane Lynn Gonzalez, PHARM. D
• Karyn Goodman
• Bonnie Greenberg-Hahn, LMSW
• Jerry Greenfield, LPN

• Licensed Practical Nurse in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.