MARILYN D GOODMAN (NPI# 1124263322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124263322 |
| Entity Type | Individual |
| Full Name | MARILYN D GOODMAN |
| Credential | REGISTERED NURSE |
| Practice Address |
848 Pierson Ave. Newark NY 14513 |
| Mailing Address |
762 Townline Rd Lyons NY 14489-9619 |
| Practice Telephone | 3153312086 |
| Mailing Telephone | 3153312086 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
284222-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | ROOSEVELT CHILDREN'S CENTER | 1043414170 | 01 |
| NY | ROOSEVELT CHILDREN'S CENTER | 23-7540582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215077953 | Marilyn F Goodman | Chiropractor | 1545 Wooded Acres Dr, Waco, TX 76710-2838 | 2007-02-08 |
| Street Address |
848 PIERSON AVE. |
| City | NEWARK |
| State | NY |
| Zip Code | 14513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807284 | Paige Dolan | Registered Nurse | 24 Dolphin Dr, Newark, DE 19702-4767 | 2020-10-08 |
| 1437614369 | Kristie A. Hill | Registered Nurse | 200 Lagrange Ave, Newark, DE 19702-3516 | 2019-02-05 |
| 1528576899 | Cordero Jackson | Registered Nurse | 624 Dr Martin Luther King Jr Blvd Apt 9, Newark, NJ 07102-1254 | 2018-01-19 |
| 1285143479 | Erin Porter | Registered Nurse | 200 Mcintire Dr, Newark, DE 19711-3568 | 2017-09-20 |
| 1912435488 | Colleen N Sauder | Registered Nurse | 55 S Meadowood Dr, Newark, DE 19711-6755 | 2017-05-30 |
| 1104256791 | Kristin Turner | Registered Nurse | 76 Auckland Dr, Newark, DE 19702-4252 | 2013-11-18 |
| 1700056223 | Gaynel Fontaine | Registered Nurse | 2575 Glasgow Avenue, Hodgson Vo Tech, Newark, DE 19702 | 2008-03-12 |
| 1780728683 | Dorothy Brabson | Registered Nurse | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| 1629620992 | Nichole Snyder | Registered Nurse | 625 Peirson Ave, Newark, NY 14513-2022 | 2019-07-16 |
| 1891259859 | Mia Harper | Registered Nurse | 439 W Maple Ave, Newark, NY 14513-2062 | 2019-01-24 |
| Find all providers in NEWARK | ||||
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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.