JACK GOODMAN (NPI# 1831292051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831292051 |
| Entity Type | Individual |
| Full Name | JACK GOODMAN |
| Credential | MD |
| Practice Address |
9 Livingston St Ste 5 Poughkeepsie NY 12601 |
| Practice Telephone | 8454540415 |
| Practice Fax Number | 8454540914 |
| Mailing Telephone | 8454540415 |
| Mailing Fax Number | 8454540914 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 86055 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 147049 | 01 |
| RAILROAD MEDICARE | C13377 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710038161 | Jack Andrew Goodman | Anesthesiology | 4515 Poplar Ave Ste 426, Memphis, TN 38117-7517 | 2007-01-14 |
| 1922110105 | Jack R Goodman | Urology | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2006-08-31 |
| Street Address |
9 LIVINGSTON ST STE 5 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508818 | Robert Alan Rosenzweig | Internal Medicine | 9 Livingston St, 2n, Poughkeepsie, NY 12601-4719 | 2005-09-19 |
| 1699193177 | Health Quest Medical Practice | Psychiatry & Neurology | 9 Livingston St, Suite 4s - Mary Tower, Poughkeepsie, NY 12601-4719 | 2014-04-02 |
| 1629357769 | Advanced Kidney Care of Hudson Valley, PC | Internal Medicine | 9 Livingston St, Suite 1n, Poughkeepsie, NY 12601-4719 | 2011-08-08 |
| 1134431752 | Stuart A. Feinstein, M.d., P.C. | Internal Medicine | 9 Livingston St, Suite 4n, Poughkeepsie, NY 12601-4719 | 2010-07-12 |
| 1164654729 | Jack Goodman, M.d. PC | Specialist | 9 Livingston St, Suite 9, Poughkeepsie, NY 12601-4719 | 2009-08-17 |
| 1750532164 | Tania Barreras-cruz | Psychiatry & Neurology | 9 Livingston St, Poughkeepsie, NY 12601-4719 | 2008-10-03 |
| 1538333885 | Axis Medical Pllc | Internal Medicine | 9 Livingston St, Suite 2-s, Poughkeepsie, NY 12601-4719 | 2008-04-17 |
| 1558535294 | Meera P Lobo Md PC | Internal Medicine | 9 Livingston St, Mary Tower Building Ste 3s, Poughkeepsie, NY 12601-4719 | 2008-04-14 |
| 1528249240 | Robert Rosenzweig M D P C | Internal Medicine | 9 Livingston St, Ste 2n, Poughkeepsie, NY 12601-4719 | 2007-11-21 |
| 1649316894 | Alleyne Fraser | Neurological Surgery | 9 Livingston St, Suite 5s, Poughkeepsie, NY 12601-4719 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480496 | Level One Neurology, LLC | Neurological Surgery | 19 Baker Ave Ste 301, Poughkeepsie, NY 12601-1385 | 2018-03-09 |
| 1053393587 | John F Mcnulty Md PC | Neurological Surgery | 110 Main Street, Ste 1b, Poughkeepsie, NY 12601-6707 | 2005-11-18 |
| 1710979174 | Michael H Cho | Neurological Surgery | 110 Main St, Suite 1b, Poughkeepsie, NY 12601-6707 | 2005-08-22 |
| 1568020733 | Health Quest Medical Practice, PC | Neurological Surgery | 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601-3944 | 2019-06-03 |
| 1437620333 | Health Quest Medical Practice, PC | Neurological Surgery | 21 Reade Pl Ste 1100, Poughkeepsie, NY 12601-3986 | 2018-12-17 |
| 1215276076 | Health Quest Medical Practice | Neurological Surgery | 21 Reade Place, Suite 3100, Poughkeepsie, NY 12601-3944 | 2013-02-13 |
| 1437378080 | Rachana Tyagi | Neurological Surgery | 241 North Rd, Poughkeepsie, NY 12601 | 2007-04-24 |
| 1700913738 | Mark C Watts | Neurological Surgery | 19 Baker Ave, Suite 301, Poughkeepsie, NY 12601-1359 | 2007-02-27 |
| 1649316894 | Alleyne Fraser | Neurological Surgery | 9 Livingston St, Suite 5s, Poughkeepsie, NY 12601-4719 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143933 | Antonio Bernardo | Neurological Surgery | 1330 1st Ave Apt 709, New York, NY 10021-4783 | 2020-10-31 |
| 1477177301 | Muhammad Waqas | Neurological Surgery | 100 High St Ste B4-27, Buffalo, NY 14203-1126 | 2020-06-06 |
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1083259675 | Kimon Bekelis Physician P C | Neurological Surgery | 60 George St, Babylon, NY 11702-2806 | 2019-11-07 |
| 1740844141 | Neurosurgery of Western Ny Pllc | Neurological Surgery | 1200 Jefferson Rd Ste 310, Rochester, NY 14623-3158 | 2019-05-01 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1902372980 | Jenkins Neurospine LLC | Neurological Surgery | 65 E 96th St Apt 1b, New York, NY 10128-0776 | 2018-10-17 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1023534625 | Aaron Hockley | Neurological Surgery | 306 E 15th St Apt 4r, New York, NY 10003-4029 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.