SHADEFAI GOLDSMITH
NPI 1972743326
Point of Service in Rochester, NY

Active since February 25, 2009
929 RIDGEWAY AVE, ROCHESTER, NY 14615(585) 734-4484 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Point of Service

About SHADEFAI GOLDSMITH

This page provides the complete NPI Profile along with additional information for Shadefai Goldsmith, a provider established in Rochester, New York operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1972743326 assigned on February 2009. The practitioner's primary taxonomy code is 305S00000X with license number 295552 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Shadefai Zsalinn Goldsmith (Licensed Practical Nurse)

NPI
1972743326 Verify this NPI
Provider Name
SHADEFAI GOLDSMITH
Entity Type
Organization
Location Address
929 RIDGEWAY AVE ROCHESTER, NY 14615
Location Phone
(585) 734-4484
Mailing Address
929 RIDGEWAY AVE ROCHESTER, NY 14615
Mailing Phone
(585) 734-4484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2009
Last Update Date
06-14-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
295552
License State
NY
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SHADEFAI ZSALINN GOLDSMITH

Authorized Official Title
LICENSED PRACTICAL NURSE
Authorized Official Phone
(585) 413-3762

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972743326, enumerated as an "organization" on February 25, 2009.

The provider is located at 929 RIDGEWAY AVE ROCHESTER, NY 14615 and the phone number is (585) 734-4484.

Point of Service with taxonomy code 305S00000X.