DR. JEFFREY ALEXANDER GOODMAN (NPI# 1619042587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619042587 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALEXANDER GOODMAN |
| Credential | D.M.D. |
| Practice Address |
661 Shunpike Rd Suite #1 Green Village NJ 07935-3022 |
| Practice Telephone | 9733778811 |
| Practice Fax Number | 9733778847 |
| Mailing Telephone | 9733778811 |
| Mailing Fax Number | 9733778847 |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI01348500 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE REGISTRATION CERT | 22DI01348500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
| 1740356419 | Jeffrey M. Goodman | Marriage & Family Therapist | 3002 Armstrong Street, San Diego, CA 92111 | 2006-11-27 |
| 1871698613 | Jeffrey Alan Goodman | Internal Medicine | 1879 Nightingale Ln Ste C2, Tavares, FL 32778-4363 | 2006-09-14 |
| 1316977416 | Jeffrey W Goodman | Internal Medicine | 83 Hanover Rd, Suite 290, Florham Park, NJ 07932-1508 | 2006-07-04 |
| 1780154104 | Jeffrey N Goodman | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2018-11-28 |
| 1992959977 | Jeffrey Goodman | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2008-11-04 |
| 1033370259 | Jeffrey Mark Goodman | Dentist | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-06-19 |
| 1528091402 | Jeffrey Samuel Goodman | Psychologist | 355 Crawford St, Suite 804, Portsmouth, VA 23704-2816 | 2006-07-07 |
| 1962458141 | Jeffrey Alan Goodman | Internal Medicine | 700 Old Country Rd, Plainview, NY 11803-4932 | 2006-05-26 |
| 1861447534 | Jeffrey Goodman | Internal Medicine | 10111 W Forest Hill Blvd, #221, Wellington, FL 33414-6108 | 2006-05-23 |
| Street Address |
661 SHUNPIKE RD SUITE #1 |
| City | GREEN VILLAGE |
| State | NJ |
| Zip Code | 07935-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336264514 | Thomas Charles Barrett | Psychologist | 268 Green Village Road, Green Village, NJ 07935 | 2007-03-20 |
| 1871672022 | Frank Peter Frenda | Pediatrics | 278 Green Village Road, Box 32, Green Village, NJ 07935 | 2006-11-06 |
| 1821016940 | Stanislawa Zofia Rosnowski | Legal Medicine | 278 Green Village Rd., Green Village, NJ 07935 | 2006-07-17 |
| 1487731626 | Suzanne Elizabeth Hays | Psychologist | 268 Green Village Rd, Green Village, NJ 07935 | 2006-11-01 |
| 1558482687 | Pierce Ross Skinner | Psychologist | 268 Green Village Rd, Green Village, NJ 07935-0288 | 2007-04-03 |
| 1245539261 | Ronald Victor Suarez | Legal Medicine | 27 Britten Rd, Green Village, NJ 07935-3001 | 2011-03-16 |
| 1245476761 | Judy Marie O'connor-becker | Clinical Nurse Specialist | 667 Shunpike Rd Ste 3, Green Village, NJ 07935-3021 | 2009-01-06 |
| 1720202658 | Joanna M Bird | Psychiatry & Neurology | 661 Shunpike Rd Ste 2a, Green Village, NJ 07935-3022 | 2007-04-12 |
| 1588092027 | Paula Del Coro | Speech-Language Pathologist | 48 Meyersville Rd, Green Village, NJ 07935-3026 | 2013-10-18 |
| 1194789529 | Steven Paul Wetcher | Optometrist | 268 Green Village Rd, Green Village, NJ 07935-3027 | 2006-04-13 |
| Find all providers in zip 07935 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
| 1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
| 1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
| 1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
| 1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
| 1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
| 1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
| City | GREEN VILLAGE |
| Zip Code | 07935 |
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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.