ROBERTA GREENGOLD (NPI# 1114319399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114319399 |
| Entity Type | Individual |
| Full Name | ROBERTA GREENGOLD |
| Practice Address |
412 4th St Brooklyn NY 11215-2902 |
| Practice Telephone | 7187688667 |
| Mailing Telephone | 7187688667 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401743 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
F401723-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
412 4TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1205448958 | Julie Katherine Broadway-spinner | Nurse Practitioner | 916 Pacific St Apt 3, Brooklyn, NY 11238-3190 | 2020-08-22 |
| 1124639646 | Viktoriya Natanel | Nurse Practitioner | 2990 Brighton 12th St Apt 2f, Brooklyn, NY 11235-4768 | 2020-08-10 |
| 1356950760 | Wai Fong Kok | Nurse Practitioner | 1228 79th St, Brooklyn, NY 11228-2708 | 2020-07-31 |
| 1114544202 | Hannah Bock-brownstein | Nurse Practitioner | 1206 Bergen St Apt D6i, Brooklyn, NY 11213-1416 | 2020-07-06 |
| 1932723970 | Geoffrey Robinson | Nurse Practitioner | 646 19th St Bsmt, Brooklyn, NY 11218-1048 | 2020-06-05 |
| 1124647003 | Awrnss LLC | Nurse Practitioner | 1718 11th Ave, Brooklyn, NY 11218-1109 | 2020-04-10 |
| 1053940064 | Leunz Cadely | Nurse Practitioner | 1738 Flatbush Ave, Brooklyn, NY 11210-4177 | 2020-04-02 |
| 1396379400 | Adeleke M. Adesanya | Nurse Practitioner | 520 Kosciuszko St Apt 2, Brooklyn, NY 11221-6731 | 2020-02-27 |
| 1972064434 | Nicole Moseley-jones | Nurse Practitioner | 1364 E 99th St, Brooklyn, NY 11236-5324 | 2019-03-27 |
| Find all providers in BROOKLYN | ||||
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| 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.