Evan Gottfried, MS ED IN SPECIAL ED.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1 Willow Brook Dr
Wallkill, NY 12589-2942

Phone

(201) 282-1350

NPI assigned

Aug 20, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1447137484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOW BROOK DR",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125892942",
            "telephone_number": "201-282-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOW BROOK DR",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125892942",
            "telephone_number": "201-282-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "EVAN",
        "credential": "MS ED IN SPECIAL ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty B Gaston, RN
• Maryann Genovese, M.D.
• Florita Gilmore
• Pamela Ann Giraud, M.S, ED/SLP/TSHH
• Ryan James Gorman
• Beth A Grillo, HHA, MSITPM, MHA
• Pat Mitsuru Hanagami, RN
• Corolinda Sehelasa Helu, DPM
• Felicia Bianca Hendricks, RN
• Keith F Holder, MD

• Early Intervention Provider Agency in Wallkill, NY
• Providers in Wallkill, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.