Individual provider Active NPI

David P Goodman, M.D.

  • Specialist
  • Bayside, NY
National Provider Identifier
1740209535
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144745 Issued in NY
Practice address
3523 Clearview Expy
Bayside, NY 11361-1322
Phone
(718) 423-9527
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 144745 NY Primary

Addresses

Primary practice location

3523 Clearview Expy
Bayside, NY 11361-1322

Mailing address

3523 Clearview Expy
Bayside, NY 11361-1322
Phone (718) 423-9527

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
I20110217000012 NY Practitioner - Psychiatry 0244419505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Health Care Associates PCGroup PAC ID 1557252467, 2 clinicians

Practice addresses (Care Compare)

3523 Clearview Expy
Bayside, NY 11361-1322
Phone (718) 423-9527

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144745NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Health Care Associates, P.C. Specialist CurrentSince Jan 1, 1998 Accepting new patients

Locations

3523 Clearview Expy
Flushing, NY 11361
Phone (212) 423-9527

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1740209535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 CLEARVIEW EXPY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611322",
            "telephone_number": "718-423-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 CLEARVIEW EXPY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611322",
            "telephone_number": "718-423-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "144745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.