Provider Demographics
NPI:1740213560
Name:GOLDFARB, BETH ROBYN (RD)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ROBYN
Last Name:GOLDFARB
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:376 GETTYSBURG WAY
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1838
Mailing Address - Country:US
Mailing Address - Phone:973-628-6931
Mailing Address - Fax:
Practice Address - Street 1:119 W 57TH ST
Practice Address - Street 2:STE. 1414
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2303
Practice Address - Country:US
Practice Address - Phone:212-333-4243
Practice Address - Fax:212-333-3468
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005374133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5B5581OtherBLUECROSS
NY2174581OtherUNITED
NY3C8211OtherHEALTHNET
NY8099870OtherGHI
NY005374OtherHIP
NY2776594OtherUSHC
NY5383904003OtherCIGNA
NY7225325OtherAETNA
NYGB5374OtherATLANTIS
NYP2586860OtherOXFORD