Individual provider Active NPI

Victoria Goldfeld, RN

  • Home Health Agency
  • Clifton, NJ
National Provider Identifier
1629304837
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0116100 Issued in NJ
Practice address
930 Clifton Ave
Suite 100
Clifton, NJ 07013-2723
Phone
(201) 474-8063
Fax
(201) 905-8050
NPI assigned
Oct 22, 2009
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0116100 NJ Primary

Addresses

Primary practice location

930 Clifton Ave
Suite 100
Clifton, NJ 07013-2723

Mailing address

930 Clifton Ave
Suite 100
Clifton, NJ 07013-2723
Phone (201) 474-8063

Other identifiers 2

IdentifierTypeStateIssuer
0219690MedicaidNJ
HP0116100MedicaidNJ

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
HP0116100NJMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Home Care, Inc Home Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1629304837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CLIFTON AVE",
            "address_2": "SUITE 100",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132723",
            "telephone_number": "201-474-8063",
            "fax_number": "201-905-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CLIFTON AVE",
            "address_2": "SUITE 100",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132723",
            "telephone_number": "201-474-8063",
            "fax_number": "201-905-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFELD",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0116100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219690",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HP0116100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.