JAIME GOODMAN (NPI# 1932670130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932670130 |
| Entity Type | Individual |
| Full Name | JAIME GOODMAN |
| Credential | C.PED |
| Practice Address |
1659 Central Ave Albany NY 12205-4050 |
| Mailing Address |
22 Moss Rd Voorheesville NY 12186-5042 |
| Practice Telephone | 5188690021 |
| Mailing Telephone | 5186532355 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | CPED1770 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224L00000X | Pedorthist | CPED1770 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972732105 | Jaime Marie Goodman | Speech-Language Pathologist | 610 May Ave, Norfolk, VA 23504-4301 | 2009-07-09 |
| 1790949006 | Jaime T Goodman | Internal Medicine | 307 Vernedale Dr, Mount Vernon, OH 43050-2921 | 2008-07-16 |
| Street Address |
1659 CENTRAL AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548467665 | Arthur Smuckler | Orthotic Fitter | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2007-07-02 |
| 1053575431 | General Orthopedic Inc | Prosthetic/Orthotic Supplier | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2008-07-15 |
| 1134389414 | Wendy Van Bellingham, Md PC | Family Medicine | 1659 Central Ave, Suite 101, Albany, NY 12205-4039 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043751514 | Young Song | Pedorthist | 14431 41st Ave Ste L6, Flushing, NY 11355-1452 | 2017-03-16 |
| 1811345101 | Bisyata Dishmaya Management Services Inc | Pedorthist | 910 46th Street, Brooklyn, NY 11219 | 2016-05-27 |
| 1114352531 | Joseph Anthony Coletta | Pedorthist | 435a Albany Shaker Rd, Loudonville, NY 12211-1815 | 2013-09-04 |
| 1851543284 | Neptune Medical & Surgical Supply, Inc. | Pedorthist | 1048-1050 Oceanview Ave, Neptune Medical & Surgical Supply, Inc., Brooklyn, NY 11235-5441 | 2008-10-16 |
| 1609935527 | David Charles Cardillo | Pedorthist | 3385 Brighton Henrietta Town Line Rd., Rochester, NY 14623-2813 | 2006-12-06 |
| 1629089016 | Dme Certified Supplies, Inc. | Pedorthist | 4621 7th Avenue, Brooklyn, NY 11220-6520 | 2006-08-10 |
| 1699372409 | Netanel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-10-05 |
| 1912519406 | Betzalel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-08-18 |
| 1295365120 | Scott R Walters | Pedorthist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2020-01-20 |
| 1194286963 | Stuart Mandel | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2019-03-26 |
| Find all providers with the same taxonomy | ||||
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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.