Individual provider Active NPI

Elisheva Gold, SLP

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1609275288
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00847300 Issued in NJ
Practice address
1000 Monmouth Ave
Lakewood, NJ 08701-1923
Phone
(646) 705-3124
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 41YS00847300 NJ Primary

Addresses

Primary practice location

1000 Monmouth Ave
Lakewood, NJ 08701-1923

Mailing address

1000 Monmouth Ave
Lakewood, NJ 08701-1923
Phone (646) 705-3124

Other practice location 1

962 Manor Road
Staten Island, New York 10314
UM
Phone (718) 982-5944

Other names 1

  • Elisheva Hoffman Other name

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
41YS00847300NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1609275288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONMOUTH AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011923",
            "telephone_number": "646-705-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONMOUTH AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011923",
            "telephone_number": "646-705-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "962 Manor Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "New York",
            "postal_code": "10314",
            "country_code": "UM",
            "telephone_number": "718-982-5944",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ELISHEVA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00847300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHEVA",
            "last_name": "HOFFMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.