Organization Active NPI

Edward F Goodman Inc

  • Ophthalmology Physician
  • Somerville, MA
National Provider Identifier
1487853685
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EDWARD F GOODMAN INC
Practice address
265 Medford St
Ste 312
Somerville, MA 02143-1963
Phone
(617) 625-8250
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Edward F Goodman, M.D., INCNPI 1922047919
Title
Physician
Phone
(617) 625-8250

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

265 Medford St
Ste 312
Somerville, MA 02143-1963

Mailing address

265 Medford St
Ste 312
Somerville, MA 02143-1963
Phone (617) 625-8250

Other identifiers 1

IdentifierTypeStateIssuer
M11052OtherMABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

265 Medford St
Ste 312
Somerville, MA 02143
Phone (617) 625-8250

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1487853685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MEDFORD ST",
            "address_2": "STE 312",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431963",
            "telephone_number": "617-625-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MEDFORD ST",
            "address_2": "STE 312",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431963",
            "telephone_number": "617-625-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F GOODMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-625-8250",
        "authorized_official_credential": "M.D., INC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M11052",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.