NPIMap

Organization Active NPI

Marion R Golden ND FNP WHNP PLLC

  • Primary Care Clinic/Center
  • Wading River, NY
National Provider Identifier
1619206802
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
332738 Issued in NY
Legal business name
MARION R GOLDEN ND FNP WHNP PLLC
Practice address
5976 Route 25a
Wading River, NY 11792-2001
Phone
(631) 929-9700
Fax
(631) 929-9702
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Marion R Golden, DNP
Title
Owner/DNP
Phone
(631) 929-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 332738 NY Primary

Addresses

Primary practice location

5976 Route 25a
Wading River, NY 11792-2001

Mailing address

5976 Route 25a
Wading River, NY 11792-2001
Phone (631) 929-9700

Other identifiers 5

IdentifierTypeStateIssuer
145219OtherVYTRA
8051992-003OtherCIGNA
9712429OtherGHI
2268928OtherUNITED HEALTHCARE
112665191OtherPHCS

Other names 1

  • North Country Family Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1619206802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922001",
            "telephone_number": "631-929-9700",
            "fax_number": "631-929-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922001",
            "telephone_number": "631-929-9700",
            "fax_number": "631-929-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION R GOLDEN ND FNP WHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DNP",
        "authorized_official_telephone_number": "631-929-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "332738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "145219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8051992-003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9712429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2268928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "112665191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.