Joshua Scaccia Goodman, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

029399 Issued in NY

Practice address

5989 Big Tree Rd Ste a
Lakeville, NY 14480-9719

Phone

(585) 346-4460

NPI assigned

Mar 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393
  Medicare reassignment NPD
• Acute Care Trauma of the University of Rochester

  • Surgical Critical Care Physician
  • Rochester, NY
  • NPI 1851754634
  NPD
• Cardiac Surgery of the University of Rochester

  • Surgical Critical Care Physician
  • Rochester, NY
  • NPI 1689023277
  NPD
• Richard S Aguirre

  dba Lakeville Family Medicine

  • Family Medicine Physician
  • Lakeville, NY
  • NPI 1710992151
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1356041123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5989 BIG TREE RD STE A",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809719",
            "telephone_number": "585-346-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5989 BIG TREE RD STE A",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809719",
            "telephone_number": "585-346-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JOSHUA",
        "middle_name": "SCACCIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "029399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew T Emerson, M.D.
• Family Dental Care of Livonia PC
• Finger Lakes Podiatry, PC
• Charmagne M Flanigan, DC
• Brenda Flores Sousa, DDS
• Danielle S Haugh, LMT
• Taylor Marie Holmes, DPT
• Fitzgerald Anthony Hudson, MD
• Monica Jarzyna, COTA
• Ardis Kelley

• Medical Physician Assistant in Lakeville, NY
• Providers in Lakeville, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.