MS. SANDRA WALTER GOODMAN (NPI# 1710046495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710046495 |
| Entity Type | Individual |
| Full Name | MS. SANDRA WALTER GOODMAN |
| Credential | NP |
| Practice Address |
111 East 210th Street Bronx NY 10467 |
| Mailing Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 7189208215 |
| Practice Fax Number | 7185472902 |
| Mailing Telephone | 7189208215 |
| Mailing Fax Number | 7185472902 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F302161 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 EAST 210TH STREET |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124355 | Steven R Cohen | Dermatology | 111 East 210th Street, Division of Dermatology, Bronx, NY 10467-2490 | 2005-09-14 |
| 1760095780 | Swapnil Singh | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-08-28 |
| 1770105728 | Lamiaa Abdallah | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-05-13 |
| 1225666993 | Rimon Golovey | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-30 |
| 1205463213 | Mina Mikhael | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-27 |
| 1831725845 | Laura F Rosado Albacarys | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-21 |
| 1659924306 | Osama Mohammad Salen Aldahamsheh | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2019-07-22 |
| 1538711981 | Eleni Drakou | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2019-07-15 |
| 1790341790 | Ezequiel Wendichansky | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2019-05-15 |
| 1821556184 | Elliot Saleh | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2019-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707395 | Dania Munoz | Nurse Practitioner | 254 E 202nd St Apt 7h, Bronx, NY 10458-1661 | 2019-09-03 |
| 1912434291 | Melissa Aldahondo | Nurse Practitioner | 1108 Ellsworth Ave, Bronx, NY 10465-1413 | 2017-05-17 |
| 1992139018 | Tatiana Burgess | Nurse Practitioner | 5 Fordham Hill Oval Apt 1f, Bronx, NY 10468-4844 | 2013-08-26 |
| 1770634826 | Sunmi Yoo | Nurse Practitioner | Lincoln Hospital 149th Street, Bronx, NY 10451 | 2007-01-16 |
| 1639776388 | Chelsea Onuorah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-06 |
| 1508360272 | Patricia Davis | Nurse Practitioner | 111 E 210th St, Bronx, NY 10467-2401 | 2018-03-19 |
| 1356896609 | Christine Mastroddi | Nurse Practitioner | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2016-08-16 |
| 1801252838 | Bamidele Njoku | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2016-01-06 |
| 1477925170 | Yevgeniya Nepomnyashchaya | Nurse Practitioner | 111 E 210th St, Bronx, NY 10467-2401 | 2015-10-21 |
| 1992172068 | Phat Tran | Nurse Practitioner | 111 E 210th St, Bronx, NY 10467-2401 | 2015-08-25 |
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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.