Devin T Goodman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01914600 Issued in NJ

Practice address

321 N Warren St
Trenton, NJ 08618-4741

Phone

(609) 278-5960

Fax

(609) 695-3532

NPI assigned

Aug 1, 2006

Sex

Male

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 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

Interoperability endpoints

• Direct secure messaging: devin.goodman.2@12521.direct.athenahealth.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Henry J Austin Health Center Inc

  dba Henry J Austin Health Center at Catholic Charities, Diocese of Trenton

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1063883882

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Henry J Austin Health Center, Inc.

  dba Henry J. Austin Health Center Mobile Health Unit

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1639713068

  W-2 Managing Employee

  CMS ownership
• Henry J. Austin Health Center, Inc.

  dba Henry J. Austin Health Center at Oaks Integrated Care

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1679945760

  W-2 Managing Employee

  CMS ownership

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.

• Henry J Austin Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1275644809
  Medicare reassignment

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871509448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5960",
            "fax_number": "609-695-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5960",
            "fax_number": "609-695-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DEVIN",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01914600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Gonzalez Oconor, MD
• Ann Marie Gonzalez, CRNP
• Celia Gonzalez, CSW
• Frances Mariel Gonzalez, LPC, LCADC
• Luz Gonzalez
• Vinobha Gooriah, M.D.
• Sean Christopher Gordon, RPH
• Stuart Goss, R.PH
• Cynthia A Gould, RN
• Kennedy Graham

• General Practice Dentistry in Trenton, NJ
• Providers in Trenton, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.