DR. JEFFREY MARK GOODMAN (NPI# 1033370259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033370259 |
Entity Type | Individual |
Full Name | DR. JEFFREY MARK GOODMAN |
Practice Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
Practice Telephone | 2154567104 |
Mailing Telephone | 2154567104 |
Enumeration Date | 2008-06-19 |
Last Update Date | 2010-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DI02399000 | NJ | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
1740356419 | Jeffrey M. Goodman | Marriage & Family Therapist | 3002 Armstrong Street, San Diego, CA 92111 | 2006-11-27 |
1619042587 | Jeffrey Alexander Goodman | Dentist | 661 Shunpike Rd, Suite #1, Green Village, NJ 07935-3022 | 2006-11-23 |
1871698613 | Jeffrey Alan Goodman | Internal Medicine | 1879 Nightingale Ln Ste C2, Tavares, FL 32778-4363 | 2006-09-14 |
1316977416 | Jeffrey W Goodman | Internal Medicine | 83 Hanover Rd, Suite 290, Florham Park, NJ 07932-1508 | 2006-07-04 |
1780154104 | Jeffrey N Goodman | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2018-11-28 |
1992959977 | Jeffrey Goodman | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2008-11-04 |
1528091402 | Jeffrey Samuel Goodman | Psychologist | 355 Crawford St, Suite 804, Portsmouth, VA 23704-2816 | 2006-07-07 |
1962458141 | Jeffrey Alan Goodman | Internal Medicine | 700 Old Country Rd, Plainview, NY 11803-4932 | 2006-05-26 |
1861447534 | Jeffrey Goodman | Internal Medicine | 10111 W Forest Hill Blvd, #221, Wellington, FL 33414-6108 | 2006-05-23 |
Street Address |
5501 OLD YORK RD |
City | PHILADELPHIA |
State | PA |
Zip Code | 19141-3018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518962331 | Sean Janzer | Internal Medicine | 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 | 2005-06-17 |
1740897594 | Tajmia G Mcintosh | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-25 |
1104433200 | Juan Pablo Solano Romero | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-23 |
1205442233 | Rasha Elrefai | Pediatrics | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-15 |
1124633847 | Maria Carolina Musri | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-09-10 |
1295345916 | Bakhtawer Siraj | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-08-06 |
1699383091 | Sreenagavishnuvardha Motupalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-21 |
1750909222 | Raja Srinivas Boddepalli | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-10 |
1306463518 | Atif Iftikhar Nehvi | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-07-03 |
1821615345 | Paulina Henriquez Rojas | Psychiatry & Neurology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
Find all providers in zip 19141 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
1164040424 | Aledy Miguelina Moreta | Dentist | 1813 Vineyard St, Philadelphia, PA 19130-2122 | 2020-07-13 |
1033737473 | David Agia | Dentist | 1318 Franklin Mills Cir # 807, Philadelphia, PA 19154-3130 | 2020-07-13 |
1710504113 | Hanna Lee | Dentist | 1616 S Rosewood St, Philadelphia, PA 19145-1519 | 2020-07-01 |
1982221636 | Aldo Profka | Dentist | 8001 Roosevelt Blvd Ste 304, Philadelphia, PA 19152-3039 | 2020-06-29 |
1558985317 | Oxford Dental LLC | Dentist | 5233 Oxford Ave, Philadelphia, PA 19124-1803 | 2020-06-07 |
1487277935 | Issam Ghaben | Dentist | 4210 Sansom St, Philadelphia, PA 19104-3589 | 2020-05-19 |
1508490509 | Mount Airy Family Dental LLC | Dentist | 1600 Ivy Hill Rd, Philadelphia, PA 19150-1008 | 2020-02-27 |
1801436506 | Special Outreach Services, PC | Dentist | 2301 E Allegheny Ave Ste 202, Philadelphia, PA 19134-4427 | 2020-01-10 |
1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19141 |
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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.