CARL S GOODMAN (NPI# 1205889847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205889847 |
| Entity Type | Individual |
| Full Name | CARL S GOODMAN |
| Credential | DO |
| Practice Address |
101 Hospital Road Medical Center Patchogue NY 11772 |
| Mailing Address |
Po Box 13700-1378 Brookhaven Memorial Hospital - Er Philadelphia PA 19191-1378 |
| Practice Telephone | 6316877236 |
| Practice Fax Number | 6106176280 |
| Mailing Telephone | 8006662455 |
| Mailing Fax Number | 6106176280 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 200182 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244290 | Carl G Goodman | Specialist | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-09 |
| Street Address |
101 HOSPITAL ROAD MEDICAL CENTER |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121825 | Brookhaven Memorial Hospital Medical Center | Emergency Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-05-16 |
| 1225584204 | Michael Kirk | Student in an Organized Health Care Education/Training Program | 101 Hospital Road, Patchogue, NY 11772 | 2016-08-30 |
| 1194100537 | Dimple Puthethukudi George | Nurse Practitioner | 101 Hospital Road, Brook Haven Hospital Medical Center, Patchogue, NY 11772 | 2015-07-28 |
| 1417232760 | Brookhaven Memorial Hospital Medical Center, Inc. | Internal Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2011-10-19 |
| 1073824454 | Felix James Grucci IIi | Neuromusculoskeletal Medicine & OMM | 101 Hospital Road, Access Center, Patchogue, NY 11772-4870 | 2010-06-30 |
| 1346429115 | Brookhaven Memorial Hospital Medical Center | Psychiatry & Neurology | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-30 |
| 1487843090 | Brookhaven Memorial Hospital Medical Center, Inc. | Physician Assistant | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-19 |
| 1528133147 | Brookhaven Memorial Hospital Medical Center, Inc. | Psychiatric Unit | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-11-21 |
| 1235210931 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-10-18 |
| 1114014065 | Brookhaven Memorial Hospital Medical Center | Radiology | 101 Hospital Road, Patchogue, NY 11772 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225101835 | Margaret Macleod | Emergency Medicine | Bmhmc, 101 Hospital Road, Emergency Dept, Patchogue, NY 11772 | 2006-11-15 |
| 1639121825 | Brookhaven Memorial Hospital Medical Center | Emergency Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-05-16 |
| 1255858601 | Enida Zekovic | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2017-08-26 |
| 1417397332 | Daniel Ross Engelberg | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2013-06-25 |
| 1750639738 | Michael Volpe | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2012-08-21 |
| 1235414178 | Michael Andrew Parrott | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2011-10-11 |
| 1104110428 | Suzanne Marie Garber | Emergency Medicine | 101 Hospital Rd, Brookhaven Memorial Hospital, Patchogue, NY 11772-4870 | 2011-06-03 |
| 1972820702 | Lien H Lam | Emergency Medicine | 101 Hospital Rd, Emergency Department, Patchogue, NY 11772-4870 | 2010-05-04 |
| 1891020384 | Michael Yeh | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2009-10-16 |
| 1326276387 | Brian B Lee | Emergency Medicine | 101 Hospital Rd, Dept of Emergency Medicine, Patchogue, NY 11772-4870 | 2009-06-29 |
| Find all providers in PATCHOGUE | ||||
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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.