DR. JONATHAN F GOLDMAN (NPI# 1568499218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568499218 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN F GOLDMAN |
| Credential | DMD |
| Practice Address |
701 Cottage Grove Rd Bloomfield CT 06002-3080 |
| Practice Telephone | 8602426142 |
| Practice Fax Number | 8602435211 |
| Mailing Telephone | 8602426142 |
| Mailing Fax Number | 8602435211 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CT7211 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 750677 | 01 |
| CT | BLUE CROSS BLUE SHIELD | 020007211CT04 | 01 |
| CT | CIGNA | 0146671003 | 01 |
| CT | OXFORD | P1274198 | 01 |
| CT | PTAN | 190000684 | 01 |
| CT | AETNA | 4227283 | 01 |
| CT | CIGNA | 0146671004 | 01 |
| CT | BLUE CROSS BLUE SHIELD | 020007211CT03 | 01 |
| CT | AETNA | 83982 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366550428 | Jonathan Howard Goldman | Internal Medicine | 220 Sunnycrest Ave, Mill Valley, CA 94941-2690 | 2006-08-29 |
| 1639498900 | Jonathan David Goldman | Internal Medicine | 330 Brookline Ave, Deaconess 311, Boston, MA 02215-5400 | 2010-05-25 |
| 1750593844 | Jonathan Wade Goldman | Internal Medicine | 2020 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2023 | 2007-05-03 |
| Street Address |
701 COTTAGE GROVE RD |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346779 | David Allen Feingold | Physical Medicine & Rehabilitation | 701 Cottage Grove Rd, Ste F120, Bloomfield, CT 06002-3095 | 2005-06-14 |
| 1386101954 | Anastasia Climan | Dietitian, Registered | 701 Cottage Grove Rd, Bloomfield, CT 06002-3080 | 2019-03-01 |
| 1730571282 | Thomas O'connor, Md, LLC | Clinic/Center | 701 Cottage Grove Rd, Ste A210, Bloomfield, CT 06002-3080 | 2015-02-20 |
| 1093115057 | Daniela Shvetsov | Physician Assistant | 701 Cottage Grove Rd, Suite E210, Bloomfield, CT 06002-3080 | 2014-08-27 |
| 1528408663 | Propicius Brain & Spine LLC | Specialist | 701 Cottage Grove Rd, Ste. E230, Bloomfield, CT 06002-3080 | 2013-07-03 |
| 1386998649 | David B Shamash | Dentist | 701 Cottage Grove Rd, Suite F210, Bloomfield, CT 06002-3080 | 2012-11-07 |
| 1104192921 | Md Care Psychiatric Services LLC | Psychiatry & Neurology | 701 Cottage Grove Rd, Suite B230, Bloomfield, CT 06002-3079 | 2012-03-26 |
| 1841581402 | Robert D. Rudnicki M.d., P.C. | Internal Medicine | 701 Cottage Grove Rd, Suite C-230, Bloomfield, CT 06002-3080 | 2011-04-29 |
| 1053612150 | Reflections Psychotherapy Services LLC | Community/Behavioral Health | 701 Cottage Grove Rd, Suite F 120, Bloomfield, CT 06002 | 2010-11-06 |
| 1669792354 | Arzu I. Demirci | Internal Medicine | 701 Cottage Grove Rd, Suite E210, Bloomfield, CT 06002-3080 | 2010-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437220381 | Steven Arthur Lilien | Dentist | 364 Franklin St, Bloomfield, NJ 07003-3446 | 2006-11-13 |
| 1275767535 | Essex Oral Sugery Associates | Dentist | 364 Franklin St, Bloomfield, NJ 07003-3446 | 2009-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.