Active NPI
Magnolia L Goh, AC
- Acupuncturist
- New York, NY
National Provider Identifier
1932209657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000146
- Practice address
- 250 W 57 Street,
#629
New York, NY 10107 - Phone
- (212) 258-5622
- NPI assigned
- Sep 23, 2006
- 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 | 000146 | NY | Primary |
Addresses
Primary practice location
250 W 57 Street,
#629
New York, NY 10107
Mailing address
250 W 57 Street,
#629
New York, NY 10107
Phone (212) 258-5622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
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 |
|---|---|---|---|
| 000146 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932209657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 57 STREET,",
"address_2": "#629",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10107",
"telephone_number": "212-258-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 57 STREET,",
"address_2": "#629",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10107",
"telephone_number": "212-258-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOH",
"first_name": "MAGNOLIA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00246075",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, 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.