Alexandra Bongiorno Goitia, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

752184 Issued in NY

Practice address

17 Bank Ave
Smithtown, NY 11787-2703

Phone

(631) 265-5300

NPI assigned

Nov 14, 2018

Sex

Female

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Christian Nursing Registry, Inc.

  • Home Health Agency
  • Smithtown, NY
  • NPI 1912038274
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1578032900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CHARLES POND DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273754",
            "telephone_number": "631-521-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BANK AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872703",
            "telephone_number": "631-265-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOITIA",
        "first_name": "ALEXANDRA",
        "middle_name": "BONGIORNO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "752184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glucose Guards LLC
• Brian S. Gobbi, OTR
• Sharon Gobbi
• Stephenie Gobris
• Katie Anne Goehle, LMSW
• Gold Coast Physical Therapists & Therapy Assistants
• Gold Coast Podiatry, PC
• Avram Gold, M.D.
• Richard Samuel Gold, MD
• Richard Bruce Goldman, D.D.S.

• Registered Nurse in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.