Individual provider Active NPI

Sharon Ida Goldberg, FNP-BC, CWOCN

  • Family Nurse Practitioner
  • Monroe, NY
National Provider Identifier
1386803468
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333866-1 Issued in NY
Practice address
278 Cedar Cliff Rd
Monroe, NY 10950-4708
Phone
(845) 782-4355
Fax
(845) 782-0992
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333866-1 NY Primary
Wound Care Registered Nurse 163WW0000X 297819 NY
Enterostomal Therapy Registered Nurse 163WE0900X 297819 NY

Addresses

Primary practice location

278 Cedar Cliff Rd
Monroe, NY 10950-4708

Mailing address

278 Cedar Cliff Rd
Monroe, NY 10950-4708
Phone (845) 782-4355

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
297819NYMDWound Care Registered Nurse
F333866-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1386803468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 CEDAR CLIFF RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504708",
            "telephone_number": "845-782-4355",
            "fax_number": "845-782-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 CEDAR CLIFF RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504708",
            "telephone_number": "845-782-4355",
            "fax_number": "845-782-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SHARON",
        "middle_name": "IDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333866-1",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "297819",
            "primary": false
        },
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "NY",
            "license": "297819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.