Individual provider Active NPI

Marianne Goodman, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1427156686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
124876 Issued in NY
Practice address
215 E 80TH St
#5D
New York, NY 10021-0531
Phone
(212) 734-3534
Fax
(212) 249-4283
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 124876 NY Primary

Addresses

Primary practice location

215 E 80TH St
#5D
New York, NY 10021-0531

Mailing address

215 E 80TH St
#5D
New York, NY 10021-0531
Phone (212) 734-3534

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000000 NY Practitioner - Psychiatry 4183881097 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Icahn School of Medicine at Mount Sinai, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 E 80TH St
Apt 5D
New York, NY 10075-0545
Phone (212) 734-3534

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427156686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 80TH ST",
            "address_2": "#5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210531",
            "telephone_number": "212-734-3534",
            "fax_number": "212-249-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 80TH ST",
            "address_2": "#5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210531",
            "telephone_number": "212-734-3534",
            "fax_number": "212-249-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "124876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.