Rebecca Molly Rood Goldman, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403814 Issued in NY

Practice address

158 Oceanview Rd
East Rockaway, NY 11518-1021

Phone

(201) 874-5646

NPI assigned

Nov 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Moonshot Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1669158879

  NJ

  Medicare reassignment NPD
• Lavender New Jersey Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1629922950
  NPD

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1841956919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 OCEANVIEW RD",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181021",
            "telephone_number": "201-874-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 OCEANVIEW RD",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181021",
            "telephone_number": "201-874-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOD GOLDMAN",
        "first_name": "REBECCA",
        "middle_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RJS Family Nurse Practitioners, PC
• Bonni Robbins, R-LCSW
• Angela Maria Roesler, MS, CCC-SLP
• Tara Herwitz Roffe, DDS
• Rok Medical Services P.C.
• Roseann Vanderbeck Otr PC (South Shore Therapy Associates)
• Roseann Vanderbeck Otrpc
• Alexandra Jill Rosenthal, M.S.
• Isaak Rubinov, DDS
• Safe and Reliable Ambulette, LLC

• Psychiatric/Mental Health Nurse Practitioner in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.