Active NPI
Golda Atara Erdfarb, DDS
- Dentist
- Hawthorne, NY
National Provider Identifier
1396188447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057293
- Practice address
- 19 Skyline Dr
Hawthorne, NY 10532 - Phone
- (914) 594-1000
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 057293 | NY | Primary |
Addresses
Primary practice location
19 Skyline Dr
Hawthorne, NY 10532
Mailing address
3196 Kennedy Blvd
Union City, NJ 07087-2436
Phone (201) 325-8444
Other practice location 1
3196 Kennedy Blvd
Union City, NJ 07087-2436
Phone (201) 325-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0526037 | Medicaid | NJ |
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 |
|---|---|---|---|
| 057293 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1396188447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 KENNEDY BLVD",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872436",
"telephone_number": "201-325-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SKYLINE DR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "10532",
"telephone_number": "914-594-1000"
}
],
"practiceLocations": [
{
"address_1": "3196 Kennedy Blvd",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "NJ",
"postal_code": "070872436",
"country_code": "US",
"telephone_number": "201-325-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERDFARB",
"first_name": "GOLDA",
"middle_name": "ATARA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0526037",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.