MAUREEN GOODMAN (NPI# 1770728339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770728339 |
| Entity Type | Individual |
| Full Name | MAUREEN GOODMAN |
| Credential | APN |
| Practice Address |
30 Prospect Ave Psych Dept Hackensack NJ 07601-0000 |
| Practice Telephone | 2019968393 |
| Mailing Telephone | 2019968393 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
26NJ00167700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 PROSPECT AVE PSYCH DEPT |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238184 | Tmr Mental Health Care PC | Clinical Nurse Specialist | 861 Main St Ste 1, Hackensack, NJ 07601-4907 | 2020-02-26 |
| 1518176577 | Barbara Jean Williams | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116797 | Lillian Shaw | Clinical Nurse Specialist | 58 Smithfield Ct, Basking Ridge, NJ 07920-2781 | 2011-04-15 |
| 1154646354 | Marie Frances Karinja | Clinical Nurse Specialist | 138 Westfield Ave Ste D, Clark, NJ 07066-2432 | 2010-03-30 |
| 1437306941 | Ellen Grace Austin | Clinical Nurse Specialist | 425 Bank St, Bridgeton, NJ 08302-1303 | 2008-08-26 |
| 1427278860 | Patricia Joan Oneill | Clinical Nurse Specialist | 762 Old New York Rd, Port Republic, NJ 08241-9731 | 2007-04-26 |
| 1043364763 | Carole-rae Reed | Clinical Nurse Specialist | 536 N Shore Rd, Absecon, NJ 08201-1822 | 2007-01-22 |
| 1235280330 | Denise Bruzzi Dempsey | Clinical Nurse Specialist | 719 N Beers St Ste 1f, Holmdel, NJ 07733-1523 | 2007-01-15 |
| 1245387141 | Nancy Jean Schweitzer | Clinical Nurse Specialist | 118 No Haddon Ave, Haddonfield, NJ 08033 | 2007-01-04 |
| 1467524751 | Jacqueline Lowensteiner | Clinical Nurse Specialist | 4 Spinello Ln, Chester, NJ 07930-2314 | 2006-11-14 |
| 1124043898 | Ellen Marie Ricci | Clinical Nurse Specialist | 1691 Route 9, Cn 2025 Saint Barnabas Behavioral Health Center, Toms River, NJ 08755-1245 | 2006-07-13 |
| 1609801281 | Janice A Buttler | Clinical Nurse Specialist | 1691 Highway 9, Cn 2025, Toms River, NJ 08754 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.