Individual provider Active NPI

Judy T. Goffi, RD

  • Metabolic Nutrition Registered Dietitian
  • Frederick, MD
National Provider Identifier
1518950252
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
D02101 Issued in MD
Practice address
7211 Bank CT
Frederick, MD 21703-8483
Phone
(240) 566-7830
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X D02101 MD Primary

Addresses

Primary practice location

7211 Bank CT
Frederick, MD 21703-8483

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (301) 714-4041

Other practice location 1

11110 Medical Campus Rd
Suite 108
Hagerstown, MD 21742-6700
Phone (301) 714-4041

Other identifiers 5

IdentifierTypeStateIssuer
F278-0003OtherCAREFIRST BCBS GHMSI
0981-0121OtherMDCERT DIABETES ED
611736-01OtherCAREFIRST BCBS OF MARYLAN
2431444OtherUNITED
1145132OtherAETNA PVN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000826 MD Practitioner - Registered Dietitian Or Nutrition Professional 7517938343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
75.5
Promoting interoperability
100
Improvement activities
40
Cost
68.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D02101MDMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Jun 6, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1518950252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "301-714-4041",
            "fax_number": "301-714-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BANK CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038483",
            "telephone_number": "240-566-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Medical Campus Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426700",
            "country_code": "US",
            "telephone_number": "301-714-4041",
            "fax_number": "301-714-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFFI",
        "first_name": "JUDY",
        "middle_name": "T.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "D02101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS GHMSI",
            "identifier": "F278-0003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT DIABETES ED",
            "identifier": "0981-0121",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MARYLAN",
            "identifier": "611736-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2431444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PVN",
            "identifier": "1145132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.