Michael M Goodman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003685 Issued in NY

Practice address

2439 Grand Ave
Bellmore, NY 11710-3547

Phone

(516) 221-3310

Fax

(516) 221-3308

NPI assigned

Oct 6, 2006

Last updated

Sep 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cafe of Life Chiropractic

  • Chiropractor
  • Bellmore, NY
  • NPI 1003976366
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1821185257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103547",
            "telephone_number": "516-221-3310",
            "fax_number": "516-221-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 GRAND AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103547",
            "telephone_number": "516-221-3310",
            "fax_number": "516-221-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "003685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P478597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne W Glaude
• Bruce Goldman, LCSW
• Amy Grossman Goldstein, CCC/SLP
• Juan P Gonzalez, MD
• Michael Goodman, MD
• Kelly C Gordon Dubs, MD
• Albert H Gordon
• Shacora Tawanna Gordon
• Eric T Gott, DMD
• David Grand, L.C.S.W.

• Chiropractor in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.