NPIMap

Individual provider Active NPI

Jeffrey W Goodman, M.D.

  • Nephrology Physician
  • Florham Park, NJ
National Provider Identifier
1316977416
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA08067800 Issued in NJ
Practice address
83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1508
Phone
(973) 736-2212
Fax
(973) 736-2989
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA08067800 NJ Primary

Addresses

Primary practice location

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1508

Mailing address

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1508
Phone (973) 736-2212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090713000624 NJ Practitioner - Nephrology 0648266403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08067800NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC Nephrology CurrentSince Apr 1, 2024 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: jgoodman191514@ahs.direct-ci.com
  • Direct secure messaging: jgoodman24448@direct.acumenmd.com
  • Direct secure messaging: jeffreygoodman@nephassoc.allscriptsdirect.net

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1316977416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA08067800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.