Active NPI
Georgette Goldson, MS RD CN
- Nutritionist
- Bronx, NY
National Provider Identifier
1710022983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 003037-1
- Practice address
- 1041 E 222ND St
Bronx, NY 10469-1214 - Phone
- (718) 652-3939
- Fax
- (845) 564-6974
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 003037-1 | NY | Primary |
Addresses
Primary practice location
1041 E 222ND St
Bronx, NY 10469-1214
Mailing address
1041 E 222ND St
Bronx, NY 10469-1214
Phone (718) 652-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003037-1 | Other | NY | NUTRITIONIST |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003037-1 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710022983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 E 222ND ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104691214",
"telephone_number": "718-652-3939",
"fax_number": "845-564-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 E 222ND ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104691214",
"telephone_number": "718-652-3939",
"fax_number": "845-564-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSON",
"first_name": "GEORGETTE",
"credential": "MS RD CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "003037-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NUTRITIONIST",
"identifier": "003037-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.