Denise Goodman (NPI# 1730449505, PAC ID# 1254605421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730449505 |
| PAC ID by PECOS | 1254605421 |
| Professional Enrollment ID | I20170927000966 |
| Full Name | Denise Goodman |
| Organization Legal Name | NEW JERSEY KIDNEY CARE LLC |
| Address |
26 Greenville Ave Jersey City NJ 07305-2608 |
| Phone Number | 2013338222 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052695137 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310003 | HACKENSACKUMC PALISADES |
| Address | Phone | Organization |
|---|---|---|
| 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2013338222 | NEW JERSEY KIDNEY CARE LLC |
| Organization Legal Name | NEW JERSEY KIDNEY CARE LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny B Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Gady Berkovich | Nurse Practitioner | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Jiyoung Back | Nurse Practitioner | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Niveen T Bebawy | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Narender Goel | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Deepika Jain | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Bassam M Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Lochana Manandhar | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| George C Bonifant | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Stephen M Thomsen | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Street Address |
26 GREENVILLE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip | 07305-2608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny B Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Gady Berkovich | Nurse Practitioner | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Narender Goel | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Deepika Jain | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Bassam M Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Lochana Manandhar | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Stephen M Thomsen | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A.p. Filippone | Physical Medicine and Rehabilitation | 2012 Kennedy Blvd, Jersey City, NJ 07305 | |
| Wagih G Wassef | Internal Medicine | 1999 John F Kennedy Blvd, Jersey City, NJ 07305-1432 | |
| John J Digioia Jr. | Internal Medicine | 1971 John F Kennedy Blvd, Jersey City, NJ 07305-1433 | |
| Simon Badin | Hematology/oncology | Michel S. Badin, Md Pa | 1947 John F Kennedy Blvd, Jersey City, NJ 07305-1436 |
| Diane M Badin | Internal Medicine | Michel S. Badin, Md Pa | 1947 John F Kennedy Blvd, Jersey City, NJ 07305-1436 |
| Michel S Badin | Internal Medicine | Michel S. Badin, Md Pa | 1947 John F Kennedy Blvd, Jersey City, NJ 07305-1436 |
| Esmat M Elhalim | Physical Therapy | 2120 John F Kennedy Blvd, Jersey City, NJ 07305-1516 | |
| Reem Salem | Physical Therapy | 2120 John F Kennedy Blvd, Jersey City, NJ 07305-1516 | |
| Jean Robert R Darbouze | Internal Medicine | 230 Bergen Ave, Jersey City, NJ 07305-1522 | |
| Emmanuel F Ricciardelli Jr. | Ophthalmology | 1670 John F Kennedy Blvd, Jersey City, NJ 07305-1842 | |
| Find all physicians in zip 07305 | |||
| City | JERSEY CITY |
| Zip Code | 07305 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JERSEY CITY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.