Melanie M Goth, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

220670-1 Issued in NY

Practice address

10 Ronald Reagan Blvd
Warwick, NY 10990-4104

Phone

(845) 986-2058

Fax

(845) 986-7669

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1447346838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904104",
            "telephone_number": "845-986-2058",
            "fax_number": "845-986-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904104",
            "telephone_number": "845-986-2058",
            "fax_number": "845-986-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTH",
        "first_name": "MELANIE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "220670-1",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA87243700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02252440",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062511",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria L Ginski, LMFT, PLLC
• David Gluckstein, LCSW, ACSW
• Golub Corporation
• Susan Mary Goodman, MS, BCBA
• Patricia Gordon
• Gail S. Graf, LCSW
• Paul Edward Graf, LCSW
• Karen Elizabeth Graves-Scheffold, PSY.D.
• Nelleke Greendyk, D.C
• Beth Ann Grogan, M.S.

• Pediatrics Physician in Warwick, NY
• Providers in Warwick, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.