Noa Goldman, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012754-1 Issued in NY

Practice address

17114 76TH Ave
Fresh Meadows, NY 11366-1415

Phone

(718) 969-3097

NPI assigned

Dec 31, 2009

Last updated

Dec 31, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1972833614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17114 76TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661415",
            "telephone_number": "718-969-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 76TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661415",
            "telephone_number": "718-969-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "NOA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012754-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Gnanaraj, R.N.
• Theodore Alexander Goetz, OTR/L
• Carly Goga, PA-C
• Ayelet Pelman Goldberg, LCSW, MFT
• Valerie Goldburt, MD
• Andrea Maria Goldson, LCSW-R
• Marissa Goldstein
• Juanpaulo Emiro Gomez Gutierrez, LMT
• Patricia Gomez
• Sara Gomez

• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.