Individual provider Active NPI

Aimee Rebecca Goodman, D.O.

  • Pediatrics Physician
  • East Windsor, NJ
National Provider Identifier
1235232513
Registry record updated Aug 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB07997700 Issued in NJ
Practice address
300B Princeton Hightstown Rd
Suite 201
East Windsor, NJ 08520-1400
Phone
(609) 448-7300
Fax
(609) 448-8022
NPI assigned
Sep 5, 2006
Last updated
Aug 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2009

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 25MB07997700 NJ Primary

Addresses

Primary practice location

300B Princeton Hightstown Rd
Suite 201
East Windsor, NJ 08520-1400

Mailing address

881 Oakley Dr
Freehold, NJ 07728-8240
Phone (732) 841-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07997700NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1235232513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 OAKLEY DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288240",
            "telephone_number": "732-841-2494",
            "fax_number": "732-780-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "SUITE 201",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "609-448-7300",
            "fax_number": "609-448-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "AIMEE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07997700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.