Individual provider Active NPI

Samir Goodman, NP

  • Family Nurse Practitioner
  • Williamstown, NJ
National Provider Identifier
1679204150
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01324600 Issued in NJ
Practice address
4 Corkery LN
Williamstown, NJ 08094-8825
Phone
(856) 361-6602
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01324600 NJ Primary

Addresses

Primary practice location

4 Corkery LN
Williamstown, NJ 08094-8825

Mailing address

4 Corkery LN
Williamstown, NJ 08094-8825
Phone (856) 361-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220917000032 NJ Practitioner - Nurse Practitioner 7012392681 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Emergency Physicians PAGroup PAC ID 3678500998, 27 clinicians
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (609) 463-2000

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

2500 English Creek Ave
BLDG 900 Suite 908
Egg Harbor Township, NJ 08234-5587
Phone (609) 407-2380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
96.46
Improvement activities
40
Cost
82.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Feb 22, 2026 Accepting new patients
Cape Emergency Physicians PA CurrentSince Mar 1, 2024 Accepting new patients
DRX Paramus, LLC CurrentSince Dec 1, 2024 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Sep 1, 2022 Accepting new patients
Atlanticare Physician Group CurrentSince Feb 22, 2026 Accepting new patients
Jersey Irish Medical PastSince Oct 26, 2019 Accepting new patients

Locations

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

2500 English Creek Ave
Ste 908
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

475 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 553-6611

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1679204150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORKERY LN",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948825",
            "telephone_number": "856-361-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORKERY LN",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948825",
            "telephone_number": "856-361-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "SAMIR",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01324600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

Verify at the official NPI Registry.