Individual provider Active NPI

Caren L Kurtz Goodman, M.D.

  • Pediatrics Physician
  • Rye Brook, NY
National Provider Identifier
1205949427
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
232146 Issued in NY
Practice address
26 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone
(914) 251-1100
Fax
(914) 251-1109
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 232146 NY Primary

Addresses

Primary practice location

26 Rye Ridge PLZ
Rye Brook, NY 10573-2820

Mailing address

26 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 251-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181214000295 CT Practitioner - Pediatric Medicine 2466797774 Reassigns benefits to 1 organization
I20181218001753 NY Practitioner - Pediatric Medicine 2466797774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
232146NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Pediatrics CurrentSince Sep 18, 2018 Accepting new patients
Northeast Medical Group, PLLC Pediatrics CurrentSince Sep 18, 2018 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

26 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 251-1100

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Interoperability endpoints

  • Direct secure messaging: ckurtzgoodman108774@direct.ynhh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1205949427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732820",
            "telephone_number": "914-251-1100",
            "fax_number": "914-251-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732820",
            "telephone_number": "914-251-1100",
            "fax_number": "914-251-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ GOODMAN",
        "first_name": "CAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.