Individual provider Active NPI

Stuart H Goodman

  • Chiropractor
  • East Windsor, NJ
National Provider Identifier
1386789766
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2948 Issued in NJ
Practice address
300B Princeton Hightstown Rd
Suite 104
East Windsor, NJ 08520-1400
Phone
(609) 426-9444
Fax
(609) 426-1806
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2948 NJ Primary

Addresses

Primary practice location

300B Princeton Hightstown Rd
Suite 104
East Windsor, NJ 08520-1400

Mailing address

295 Princeton Hightstown Rd
Unit 351
West Windsor, NJ 08550-3123
Phone (609) 426-9444

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2948NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1386789766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PRINCETON HIGHTSTOWN RD",
            "address_2": "UNIT 351",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503123",
            "telephone_number": "609-426-9444",
            "fax_number": "609-426-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "SUITE 104",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "609-426-9444",
            "fax_number": "609-426-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "STUART",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2948",
            "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 Jan 20, 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.