Sonya L Goodrich, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09682500 Issued in NJ

Practice address

1200 Clinton Ave
Suite 140
Irvington, NJ 07111-2070

Phone

(973) 374-1080

Fax

(973) 373-1726

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/53393c7a-0b87-4dcb-bbca-68e82f45f8dc/
• Direct secure messaging: sonya.goodrich@cmcl-nj.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Medical Center LLC

  • Adult Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1689071722
  Medicare reassignment NPD Authorized official
• Renal Medical Associates LLC

  • Specialist
  • West Orange, NJ
  • NPI 1205921194
  Medicare reassignment NPD
• SM Medical, LLC

  • Internal Medicine Physician
  • Bloomfield, NJ
  • NPI 1932562907
  Medicare reassignment NPD
• Cardiology and Vascular Consultants of New Jersey

  • Cardiovascular Disease Physician
  • Maplewood, NJ
  • NPI 1629391180
  NPD (past)
• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  NPD (past)
• Lung Doctor LLC

  • Pulmonary Disease Physician
  • Newark, NJ
  • NPI 1194770966
  NPD (past)
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1053528356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 140",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "973-374-1080",
            "fax_number": "973-373-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 140",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "973-374-1080",
            "fax_number": "973-373-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "SONYA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09682500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500330",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Glenn, LCSW
• Global Key DME
• Raywatie S. Gocool, MSW
• Gohewec Physio-Med Link, Inc.
• Kumaraswamy Gollarahally-Kenchap, PHD
• Natacha Gordon, MHC
• Goshen Healthcare Group LLC
• Gloria Goyco
• Grace Medical Consult
• Graceland Healthcare Services LLC

• Adult Health Nurse Practitioner in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.