Individual provider Active NPI

Jennifer Anne Gosden, M.SC.ED

  • Student in an Organized Health Care Education/Training Program
  • Long Beach, NY
National Provider Identifier
1538392147
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
694634 Issued in NY
Practice address
268 Magnolia Blvd
Long Beach, NY 11561-3319
Phone
(516) 431-7627
NPI assigned
Aug 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 694634 NY Primary

Addresses

Primary practice location

268 Magnolia Blvd
Long Beach, NY 11561-3319

Mailing address

268 Magnolia Blvd
Long Beach, NY 11561-3319
Phone (516) 431-7627

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
694634NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251590400000",
    "number": "1538392147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MAGNOLIA BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613319",
            "telephone_number": "516-431-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAGNOLIA BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613319",
            "telephone_number": "516-431-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSDEN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.SC.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "694634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.