Barry Steven Goodman, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

031313 Issued in NY

Practice address

301 Mill Rd
Hewlett, NY 11557-1291

Phone

(516) 374-0400

Fax

(516) 374-0401

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bgoodman655236@nyumc.direct-ci.com

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164563961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 RIDGEWAY DR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571821",
            "telephone_number": "516-569-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MILL RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571291",
            "telephone_number": "516-374-0400",
            "fax_number": "516-374-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BARRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "031313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Goldberg, PH.D.
• Cory Golden
• Sharon Golden, MS., N.C.C., L.M.H.C
• Ernest S Goldmann
• Tara-Marie Gonzalez, LCSWR
• Fred Goodstein, D.D.S.
• Joseph Paul Gottlieb, R.PH.
• Lawrence Howard Gottlieb, MD
• Rebecca Gottlieb
• Green DME Inc.

• All providers in Hewlett, NY
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.