Individual provider Active NPI

Pearl Goldwurm, M.A

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1699108662
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
381 S 5TH St Ste 1
Brooklyn, NY 11211-7507
Phone
(718) 787-6337
Fax
(718) 228-3731
NPI assigned
Aug 14, 2013
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

381 S 5TH St Ste 1
Brooklyn, NY 11211-7507

Mailing address

5014 16TH Ave Ste 293
Brooklyn, NY 11204-1482
Phone (718) 787-6337

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Plus PLLC Behavior Analyst Current Accepting new patients
Empower Licensed Behavior Analyst PLLC Behavior Analyst Current Accepting new patients

Locations

6802 Paragon Pl
Ste 410
Richmond, VA 23230
Phone (804) 214-6363

Organizations & group practices 2

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1699108662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 16TH AVE STE 293",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041482",
            "telephone_number": "718-787-6337",
            "fax_number": "718-228-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S 5TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117507",
            "telephone_number": "718-787-6337",
            "fax_number": "718-228-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWURM",
        "first_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.