Gwen Lori Goodman

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

8 Barrister LN
Manalapan, NJ 07726-3285

Phone

(732) 409-0693

Fax

(732) 845-1099

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

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

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.

• Young Adult Institute, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1144314576
  Medicare reassignment NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689739138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BARRISTER LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BARRISTER LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263285",
            "telephone_number": "732-409-0693",
            "fax_number": "732-845-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Avenue U Ste 1L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234046",
            "country_code": "US",
            "telephone_number": "718-946-4248",
            "fax_number": "718-376-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "GWEN",
        "middle_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Restua Goldman, FNP-BC
• Steven Kyle Goldman, D.C.
• Ivan Richard Goldstein, RPH
• Wesley Golub
• Natalia Gonzalez, LAC
• Ann Victoria Gora
• Ariana Gordon
• Gordons Corner Medical Group,PC
• Elliot M Gore, PH.D.
• Joyce D Gore, ED.S.

• Specialist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.