Active NPI
Warren J Goodman, D.P.M.
- Primary Podiatric Medicine Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 003926
- Practice address
- 83 Maiden LN FL 6
New York, NY 10038-4812 - Phone
- (212) 780-2378
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 003926 | NY | Primary |
Addresses
Primary practice location
83 Maiden LN FL 6
New York, NY 10038-4812
Mailing address
906 Cranford Ave
Valley Stream, NY 11581-3114
Phone (516) 791-5701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00904201 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
380 Ave U
1L
Brooklyn, NY 11223-4046
Phone (718) 376-3077
460 W 34TH St
FL 9
New York, NY 10001-2382
Phone (212) 273-6100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 129 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003926 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Highway Podiatry PC | Primary Podiatric Medicine | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Ahrc Health Care Inc | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Ahrc Healthcare Inc. | Current | Accepting new patients | |
| Kings Highway Podiatry | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
21111 Northern Blvd
Ste 2
Bayside, NY 11361
1500 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-8225
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
3060 E Tremont Ave
#2
Bronx, NY 10461
175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300
175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182
18 Adams St
Brooklyn, NY 11201
Phone (718) 285-3035
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
3364 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 570-5348
380 Avenue U
Apt 1L
Brooklyn, NY 11223
Phone (718) 339-4470
380 Avenue U
Ste 1
Brooklyn, NY 11223
380 Avenue U
Ste 1L
Brooklyn, NY 11223
Phone (718) 376-3077
21111 Northern Blvd
Fl 2
Flushing, NY 11361
Phone (718) 224-2094
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- warren.goodman.p1@direct.premierhealthcare.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1558373217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 CRANFORD AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813114",
"telephone_number": "516-791-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 MAIDEN LN FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384812",
"telephone_number": "212-780-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "WARREN",
"middle_name": "J",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "003926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00904201",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.