MRS. DIANE GOLDBERG (NPI# 1811026370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811026370 |
| Entity Type | Individual |
| Full Name | MRS. DIANE GOLDBERG |
| Credential | RN |
| Practice Address |
4504 State Route 55 Swan Lake NY 12783 |
| Mailing Address |
21 Pammer Rd Po Box 89 Youngsville NY 12791 |
| Practice Telephone | 8452926880 |
| Mailing Telephone | 8454825135 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4969341 | NY | Nursing Service Providers |
| Street Address |
4504 STATE ROUTE 55 |
| City | SWAN LAKE |
| State | NY |
| Zip Code | 12783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326060906 | Carol Ann Waxman | Physician Assistant | 4504 State Route 55, Swan Lake, NY 12783 | 2006-07-24 |
| 1194160291 | Rosemarie Escalera | Registered Nurse | 4504 State Route 55, Swan Lake, NY 12783-6515 | 2013-05-02 |
| 1275716987 | Krista Anne Smith | Social Worker | 4504 State Route 55, Swan Lake, NY 12783 | 2007-12-17 |
| 1740485960 | Deena Mogel | Social Worker | 4504 State Route 55, Swan Lake, NY 12783 | 2007-06-18 |
| 1245333608 | Edna Mary Coster | Registered Nurse | 4504 State Route 55, Swan Lake, NY 12783 | 2006-09-07 |
| 1598877383 | Olga Renee Saltzman | Registered Nurse | 4504 State Route 55, Swan Lake, NY 12783 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140939 | Rebecca Berman | Registered Nurse | 38 Old White Lake Turnpike, Swan Lake, NY 12783 | 2019-02-13 |
| 1114181757 | Kathleen J Zylko | Registered Nurse | 4504 St Rte 55, Daytop Village Inc, Swan Lake, NY 12783 | 2008-07-14 |
| 1063514347 | Claire Disanto | Registered Nurse | 4504 Rt 55, Dayton Village, Swan Lake, NY 12783 | 2006-09-05 |
| 1699883801 | Carol Emily Benton | Registered Nurse | Daytop Village, Swan Lake, NY 12783 | 2006-08-28 |
| 1023125606 | Sonia Olsen | Registered Nurse | 4505 Route 55, Daytop Village Inc, Swan Lake, NY 12783 | 2006-08-23 |
| 1053426270 | Mark Hyman | Dentist | 4504 Route 55, Daytop Village Dental, Swan Lake, NY 12783 | 2006-08-20 |
| 1922019025 | Karen L Hathaway | Registered Nurse | 4504 St Rt 55, Swan Lake, NY 12783 | 2006-08-11 |
| 1851309181 | John Joseph Czar | Social Worker | 4504 State Route #55, Swan Lake, NY 12783 | 2006-08-03 |
| 1912914672 | Mitchell Evan Fishler | Social Worker | 4551 Rte 55, Swan Lake, NY 12783 | 2006-08-02 |
| 1588683668 | Susanne Marie Harris | Registered Nurse | Day Top Swan Lake, Swan Lake, NY 12783 | 2006-07-19 |
| Find all providers in zip 12783 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140939 | Rebecca Berman | Registered Nurse | 38 Old White Lake Turnpike, Swan Lake, NY 12783 | 2019-02-13 |
| 1114181757 | Kathleen J Zylko | Registered Nurse | 4504 St Rte 55, Daytop Village Inc, Swan Lake, NY 12783 | 2008-07-14 |
| 1063514347 | Claire Disanto | Registered Nurse | 4504 Rt 55, Dayton Village, Swan Lake, NY 12783 | 2006-09-05 |
| 1699883801 | Carol Emily Benton | Registered Nurse | Daytop Village, Swan Lake, NY 12783 | 2006-08-28 |
| 1023125606 | Sonia Olsen | Registered Nurse | 4505 Route 55, Daytop Village Inc, Swan Lake, NY 12783 | 2006-08-23 |
| 1922019025 | Karen L Hathaway | Registered Nurse | 4504 St Rt 55, Swan Lake, NY 12783 | 2006-08-11 |
| 1588683668 | Susanne Marie Harris | Registered Nurse | Day Top Swan Lake, Swan Lake, NY 12783 | 2006-07-19 |
| 1245333608 | Edna Mary Coster | Registered Nurse | 4504 State Route 55, Swan Lake, NY 12783 | 2006-09-07 |
| 1598877383 | Olga Renee Saltzman | Registered Nurse | 4504 State Route 55, Swan Lake, NY 12783 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699596 | Calissa Saint Paul | Registered Nurse | 77 Gibson Blvd, Valley Stream, NY 11581-3375 | 2020-11-08 |
| 1386245199 | Alisha Tiffany Howard | Registered Nurse | 19 Lakeside Dr, Centerport, NY 11721-1513 | 2020-11-06 |
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1134720105 | Marie Degraff | Registered Nurse | 8 Forest Ave, Glen Cove, NY 11542-2122 | 2020-11-05 |
| 1144821158 | Aeneas Kwame Osei | Registered Nurse | 28 Horseshoe Way, Middletown, NY 10940-2334 | 2020-11-05 |
| 1487255543 | Samantha Lee Manzo | Registered Nurse | 1450 Deep Hole Dr, Mattituck, NY 11952-2610 | 2020-11-05 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1376144246 | Jessica Quaranto | Registered Nurse | 4728 Transit Rd Apt B5, Depew, NY 14043-4955 | 2020-11-05 |
| 1871194001 | Anya Khaimova | Registered Nurse | 17656 80th Rd, Jamaica, NY 11432-1409 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DIANE GOLDBERG.
| 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.