Active NPI
Abbie Miriam Goldberg, MS,RD,CDN
- Nutritionist
- Monsey, NY
National Provider Identifier
1790930386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 00253-1
- Practice address
- 2 Cambridge Rd
Monsey, NY 10952-1305 - Phone
- (845) 362-2261
- Fax
- (866) 764-7453
- NPI assigned
- Nov 24, 2008
- 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 | 00253-1 | NY | Primary |
Addresses
Primary practice location
2 Cambridge Rd
Monsey, NY 10952-1305
Mailing address
2 Cambridge Rd
Monsey, NY 10952-1305
Phone (845) 362-2261
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 |
|---|---|---|---|
| 00253-1 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1790930386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CAMBRIDGE RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521305",
"telephone_number": "845-362-2261",
"fax_number": "866-764-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CAMBRIDGE RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521305",
"telephone_number": "845-362-2261",
"fax_number": "866-764-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ABBIE",
"middle_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "MS,RD,CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "00253-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.