Active NPI
Carol Goldman, DACM
- Acupuncturist
- Bala Cynwyd, PA
National Provider Identifier
1780152579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK001268
- Practice address
- 22 Bala Ave
Bala Cynwyd, PA 19004-3155 - Phone
- (610) 247-1622
- NPI assigned
- Nov 9, 2018
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK001268 | PA | Primary |
Addresses
Primary practice location
22 Bala Ave
Bala Cynwyd, PA 19004-3155
Mailing address
22 Bala Ave
Bala Cynwyd, PA 19004-3155
Phone (610) 247-1622
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
| License | State | Type | Specialty |
|---|---|---|---|
| AK001268 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1780152579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043155",
"telephone_number": "610-247-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043155",
"telephone_number": "610-247-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "DACM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.