Organization Active NPI

Hazel Goodwin MD

  • Developmental - Behavioral Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1306015532
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
089641 Issued in NY
Legal business name
HAZEL GOODWIN MD
Practice address
1979 Rockaway Parkway
Brooklyn, NY 11236
Phone
(718) 272-6594
Fax
(718) 701-4197
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Hazel Goodwin, MD
Title
Developmental Behavioral Pediatrics
Phone
(718) 272-6594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X 089641 NY Primary

Addresses

Primary practice location

1979 Rockaway Parkway
Brooklyn, NY 11236

Mailing address

1979 Rockaway Parkway
Brooklyn, NY 11236
Phone (718) 272-6594

Other identifiers 1

IdentifierTypeStateIssuer
01356472MedicaidNY

National Provider Directory

National Provider Directory

Locations

1979 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 272-6594

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1306015532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 ROCKAWAY PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-272-6594",
            "fax_number": "718-701-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 ROCKAWAY PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-272-6594",
            "fax_number": "718-701-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL GOODWIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "DEVELOPMENTAL BEHAVIORAL PEDIATRICS",
        "authorized_official_telephone_number": "718-272-6594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "089641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01356472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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