Donna Suiping Goon, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO1584100 Issued in NJ

Practice address

45 E Main St
Bergenfield, NJ 07621-2121

Phone

(201) 384-8445

Fax

(201) 384-8443

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1770617698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E MAIN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212121",
            "telephone_number": "201-384-8445",
            "fax_number": "201-384-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MAIN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212121",
            "telephone_number": "201-384-8445",
            "fax_number": "201-384-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOON",
        "first_name": "DONNA",
        "middle_name": "SUIPING",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO1584100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glassman Medical PC
• Osnat Amir Glassman
• Jeffrey Gliksman, DMD
• Nancy Jeanette Gomolinski, LCSW
• Kevin Goodleaf, BA
• Laurie R Gopin, OTR/L
• Kayla Graber, OT
• Shulamit Greenbaum, DPT
• Shira Renee Greenberg, SLP
• Rachel Gross, MHS. CCC-SLP

• General Practice Dentistry in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.