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1245380450 NPI number — JOCELYN MARLA GOLDBERG MS RD CDE CDN

NPI Number: 1245380450
Health Care Provider/Practitioner: JOCELYN MARLA GOLDBERG MS RD CDE CDN

Information about “1245380450” NPI (JOCELYN MARLA GOLDBERG MS RD CDE CDN) exists in 1245380450 in HTML format HTML  |  1245380450 in plain Text format TXT  |  1245380450 in PDF (Portable Document Format) PDF  |  1245380450 in an XML format XML  formats.

NPI Number : 1245380450 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245380450",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOLDBERG",
    "FirstName": "JOCELYN",
    "MiddleName": "MARLA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS RD CDE CDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30 HEMPSTEAD AVE STE 154-L",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE CENTRE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11570-4033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-593-1211",
    "MailingAddressFaxNumber": "516-593-2442",
    "FirstLinePracticeLocationAddress": "30 HEMPSTEAD AVE STE 154-L",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKVILLE CENTRE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11570-4033",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-593-1211",
    "PracticeLocationAddressFaxNumber": "516-593-2442",
    "EnumerationDate": "01/11/2007",
    "LastUpdateDate": "03/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": "824145",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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