THALIA GOODEN CM
NPI 1942783543
Advanced Practice Midwife in Smithtown, NY

Q: What is Thalia Gooden's NPI number?

The NPI number for Thalia Gooden is 1942783543. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Q: What is Thalia Gooden's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Thalia Gooden was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment

70 MAPLE AVE, SMITHTOWN, NY 11787(631) 361-7526 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2019, Sep 10, 2018 (2 updates tracked since 2018).

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About Thalia Gooden Cm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THALIA GOODEN CM (NPI 1942783543) is an individual advanced practice midwife in Smithtown, New York, licensed in New York (F001882) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942783543

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameTHALIA GOODENCredential: CM

Location Address70 MAPLE AVESmithtown, NY 11787-3502

Mailing Address683 Ivy PlUniondale, NY 11553-2920

Phone(631) 361-7526

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 10, 2018

Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration

✔ NPI 1942783543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NY · F001882

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

70 MAPLE AVE, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thalia Gooden Cm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42562282

PECOS Enrollment IDI20181016002734

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Thalia Gooden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Planned Parenthood Hudson Peconic Inc.

Same address

Ambulatory Family Planning Facility

70 MAPLE AVE
Smithtown, NY 11787

Reassigned Medicare billing, New York enrollment
65 clinicians in this Medicare group

NPI 1285701672 (631) 361-7526

University Associates In Obstetrics & Gynecology, University Faculty P

5.8 mi

Obstetrics & Gynecology

100 NICOLLS RD, SUNY @ STONY BROOK HSC, L9, RM 020
Stony Brook, NY 11794

Reassigned Medicare billing, New York enrollment
125 clinicians in this Medicare group

NPI 1538114723 (631) 444-2731

Sun River Health Inc

38 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERIFAT O MUSA WHNP

Nurse Practitioner (Women's Health)