Individual provider Active NPI

Steven L Goodman, MD

  • Orthopaedic Surgery Physician
  • Ridgewood, NY
National Provider Identifier
1477530285
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
143929 Issued in NY
Practice address
6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone
(718) 497-1919
Fax
(718) 386-2152
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 143929 NY Primary

Addresses

Primary practice location

6655 Fresh Pond Rd
Ridgewood, NY 11385

Mailing address

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

Other practice location 1

1955 Merrick Rd
Merrick, NY 11566-4642
Phone (516) 223-1223

Other practice location 2

6686 Fresh Pond Rd
Ridgewood, NY 11385-3924
Phone (718) 576-3607

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
I20040330001272 NY Practitioner - Orthopedic Surgery 6901898105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143929NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlin & Cohen Orthopedic Associates, LLP Orthopaedic Surgery PastSince Apr 21, 2003 Accepting new patients
Winthrop Community Medical Affiliates PC Orthopaedic Surgery Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1477530285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853261",
            "telephone_number": "718-497-1919",
            "fax_number": "718-386-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-497-1919",
            "fax_number": "718-386-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664642",
            "country_code": "US",
            "telephone_number": "516-223-1223",
            "fax_number": "516-223-6031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6686 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113853924",
            "country_code": "US",
            "telephone_number": "718-576-3607",
            "fax_number": "347-987-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "143929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.