Individual provider Active NPI

Jennifer Goldsmith, CPM

  • Midwife
  • Teaneck, NJ
National Provider Identifier
1942693718
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25MW00002200 Issued in NJ
Practice address
575 Sagamore Ave
Teaneck, NJ 07666-2609
Phone
(973) 725-9761
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25MW00002200 NJ Primary

Addresses

Primary practice location

575 Sagamore Ave
Teaneck, NJ 07666-2609

Mailing address

575 Sagamore Ave
Teaneck, NJ 07666-2609
Phone (973) 725-9761

Other names 1

  • Raizy Goldsmith Professional name

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

LicenseStateTypeSpecialty
25MW00002200NJMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1942693718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SAGAMORE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662609",
            "telephone_number": "973-725-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SAGAMORE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662609",
            "telephone_number": "973-725-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25MW00002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAIZY",
            "last_name": "GOLDSMITH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.