Jack Goodman, M.D. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

086055 Issued in NY

Legal business name

JACK GOODMAN, M.D. PC

Practice address

9 Livingston St
Suite 9
Poughkeepsie, NY 12601-4719

Phone

(845) 454-0415

Fax

(845) 454-0914

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Goodman, MDNPI 1831292051

Title

Owner

Phone

(845) 454-0415

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Goodman, MD

  • Neurological Surgery Physician
  • Poughkeepsie, NY
  • NPI 1831292051
  Authorized official Same address or phone
• Misha N Kucherov, MD

  • Psychiatry Physician
  • Poughkeepsie, NY
  • NPI 1821158163
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1164654729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIVINGSTON ST",
            "address_2": "SUITE 9",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014719",
            "telephone_number": "845-454-0415",
            "fax_number": "845-454-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIVINGSTON ST",
            "address_2": "SUITE 9",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014719",
            "telephone_number": "845-454-0415",
            "fax_number": "845-454-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK GOODMAN, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-454-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "086055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashon Izu, PHD, EDS
• J&a Psychological Group, PLLC
• J&M Adult Homecare
• Nizam Jabbour, DDS
• Shiela Rubia Jabujab, PT
• Stephanie Jackob, AGPCNP-BC
• Latoya Jackson, LPN
• Nancy Jackson, LPN
• Rebecca Ann Jackson, OTR/L
• Sara Jackson, LPN

• Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.