DR. MICHAEL H GOODMAN (NPI# 1093807877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093807877 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL H GOODMAN |
| Credential | MD |
| Practice Address |
3 Cooper Plz Suite 200 Camden NJ 08103-1438 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8563422001 |
| Practice Fax Number | 8569682499 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
MA05933700 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MA05933700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | MA05933700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892457 | Michael Joseph Goodman | Chiropractor | 1323 Newbury Rd Ste 107, Newbury Park, CA 91320-3678 | 2016-06-20 |
| 1427474923 | Michael Goodman | Specialist/Technologist | 8133 Mountain View Cir, Pasadena, MD 21122-7703 | 2014-03-10 |
| 1013344837 | Michael Dean Goodman | Counselor | 6822 Bridlewood Ct, Boca Raton, FL 33433-3566 | 2013-10-11 |
| 1659496099 | Michael E Goodman | Dentist | 468 N 5th St, Middletown, IN 47356-1004 | 2007-03-21 |
| 1821185257 | Michael M Goodman | Chiropractor | 2439 Grand Ave, Bellmore, NY 11710-3547 | 2006-10-06 |
| 1922103563 | Michael S Goodman | Dentist | 245 East 55th St, C/o Elk Dental Associates, Nyc, NY 10022 | 2006-09-14 |
| 1073626651 | Michael Goodman | Internal Medicine | 2495 Newbridge Rd, Bellmore, NY 11710-2231 | 2006-08-16 |
| 1548270788 | Michael L Goodman | Neurological Surgery | 2870 Cleveland Ave, Suite #819, Fort Myers, FL 33901-5817 | 2006-08-09 |
| 1841283108 | Michael Jay Goodman | Dentist | 12301 82nd Rd, Kew Gardens, NY 11415-1601 | 2005-08-23 |
| 1467450007 | Michael James Goodman | Physical Therapist | 5508 Harbor Ave., Freeland, WA 98249 | 2005-07-08 |
| Street Address |
3 COOPER PLZ SUITE 200 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285645689 | Caroline Eggerding | Pediatrics | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209223 | Gerald Novak | Pediatrics | 17 Concord Ln, Skillman, NJ 08558-1606 | 2016-12-14 |
| 1518050129 | Barbara J Evans | Pediatrics | 36 Knickerbocker Dr, Belle Mead, NJ 08502-4544 | 2006-10-02 |
| 1053364489 | Susan Ann Roeloffs | Pediatrics | Highland Ave, Peapack, NJ 07977-0339 | 2006-05-18 |
| 1801862172 | Thomas A Rugino | Pediatrics | 94 Stevens Rd, Toms River, NJ 08755-1237 | 2006-02-27 |
| 1356948194 | Center for Child & Family Development | Pediatrics | 145 Washington St, Morristown, NJ 07960-8626 | 2020-10-05 |
| 1740849793 | Pops Therapy LLC | Pediatrics | 60 Pompton Ave Rear, Verona, NJ 07044-2946 | 2019-06-12 |
| 1861625907 | Tanishia Williams | Pediatrics | 3575 Quakerbridge Rd, Trenton, NJ 08619-1271 | 2009-08-24 |
| 1962661587 | Catherine D. Nicolaides, Md, Inc. | Pediatrics | 975 Tuckerton Rd, Marlton, NJ 08053-2663 | 2008-06-09 |
| 1316156334 | Empowered Learning Center of Monmouth | Pediatrics | 615 Hope Rd, Bldg. 5b, Eatontown, NJ 07724-1277 | 2007-05-22 |
| 1619199551 | Michael Howard Geffner | Pediatrics | 1 Merck Dr, Ws3d-90, Whitehouse Station, NJ 08889-3400 | 2007-05-02 |
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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.