NPIMap

Organization Active NPI

Dr Goodnight Center for Everlasting Beauty

  • Facial Plastic Surgery Physician
  • North Haledon, NJ
National Provider Identifier
1437470895
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25MA06252500 Issued in NJ
Legal business name
DR GOODNIGHT CENTER FOR EVERLASTING BEAUTY
Practice address
535 High Mountain Rd
Suite 110
North Haledon, NJ 07508-2665
Phone
(973) 427-2711
Fax
(973) 949-5350
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Dr. James Wayn Goodnight, M.D.NPI 1144313131
Title
Owner/Executive Director
Phone
(973) 427-2711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 25MA06252500 NJ Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X

Addresses

Primary practice location

535 High Mountain Rd
Suite 110
North Haledon, NJ 07508-2665

Mailing address

535 High Mountain Rd
Suite 110
North Haledon, NJ 07508-2665
Phone (973) 427-2711

Other names 1

  • Optimum Vitality Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dr Goodnight Center for Everlasting Beauty2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

535 High Mountain Rd
Ste 110
North Haledon, NJ 07508
Phone (973) 427-2711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1437470895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "address_2": "SUITE 110",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-427-2711",
            "fax_number": "973-949-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "address_2": "SUITE 110",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-427-2711",
            "fax_number": "973-949-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOODNIGHT CENTER FOR EVERLASTING BEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "GOODNIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WAYN",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-427-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA06252500",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Vitality",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.