MRS. TERESIA GOLDBERG


Address: 3959 Broadway, 601 A, New York, NY 10032-1559
Phone: 2123055717

MRS. TERESIA GOLDBERG (NPI# 1154659878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154659878
Entity Type Individual
Full Name MRS. TERESIA GOLDBERG
Practice Address 3959 Broadway
601 A
New York
NY 10032-1559
Practice Telephone 2123055717
Practice Fax Number 2123045699
Mailing Telephone 2123055717
Mailing Fax Number 2123045699
Enumeration Date 2009-11-19
Last Update Date 2011-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
REGISTERED DIETITIAN 707539 01

Office Location

Street Address 3959 BROADWAY
601 A
City NEW YORK
State NY
Zip Code 10032-1559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467453647 Karen Altmann Pediatrics 3959 Broadway, 2north, New York, NY 10032-1559 2005-08-10
1619575271 Ismail Bouhout Thoracic Surgery (Cardiothoracic Vascular Surgery) 3959 Broadway, Chn-274, Pediatric and Congenital Cardiac Surgery, New York, NY 10032 2020-10-15
1104433366 Rebecca Silverman Social Worker 3959 Broadway, New York, NY 10032-1559 2020-09-30
1508473679 Alexa Rose Geltzeiler Genetic Counselor, MS 3959 Broadway, New York, NY 10032-1559 2020-09-23
1518571967 Melody Cabalda-galliguez Nurse Practitioner 3959 Broadway, New York, NY 10032-1559 2020-09-02
1003424318 Hae Lin Son Nurse Practitioner 3959 Broadway, New York, NY 10032-1559 2020-07-22
1164049318 Stephanie Galloway Genetic Counselor, MS 3959 Broadway, New York, NY 10032-1559 2020-07-02
1730702556 Erica Shirin Spiegel Genetic Counselor, MS 3959 Broadway, New York, NY 10032-1559 2020-05-27
1235751967 Alexander Edward Joseph Zajac Registered Nurse 3959 Broadway, New York, NY 10032-1559 2020-05-15
1427679083 Ashley Clarke Nurse Practitioner 3959 Broadway, New York, NY 10032-1559 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770994741 Juliana Martinez Dietitian, Registered 430 West 34th St, Apt. 3k, New York, NY 10001-2310 2014-05-13
1467898528 Ilona Ginevic Dietitian, Registered One Gustave L. Levy Place, Box 1497, New York, NY 10029 2013-05-16
1184850950 Susan J Vannucci Dietitian, Registered 315 W 106th St Apt 3d, New York, NY 10025-3473 2009-06-06
1437390531 Carla Wolper Dietitian, Registered 1090 Amsterdam Ave # 14c, New York, NY 10025-1737 2009-03-19
1861691792 Corinne Lee Furnari Dietitian, Registered 250 W 49th St Ste 503, New York, NY 10019-7433 2007-07-11
1457555450 Jessica Nicole Melzer Dietitian, Registered 66 W 88th St, Apt 1 G, New York, NY 10024-2503 2007-06-13
1831247428 Amy Stephens Dietitian, Registered 39 Washington Square South, #1w, New York, NY 10012 2007-01-08
1184727042 Alenka Maria Ravnik-list Dietitian, Registered One Gustave Levy Place, Box 1067, New York, NY 10029-6574 2006-09-06
1447791108 Tara Condell Dietitian, Registered 347 5th Ave, 606, New York, NY 10016-5010 2017-03-14
1285058107 Kontosnutrition Inc. Dietitian, Registered 425 Central Park W, Suite # 6e, New York, NY 10025-4381 2014-02-12
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Competitor

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City NEW YORK
Zip Code 10032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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