Michael S Goodman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30169 Issued in NY

Practice address

245 East 55TH St
C/O Elk Dental Associates
Nyc, NY 10022

Phone

(212) 593-1212

Fax

(212) 832-3014

NPI assigned

Sep 14, 2006

Last updated

Apr 18, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Michael S. Goodman, DDS, PC

  • General Practice Dentistry
  • Nyc, NY
  • NPI 1982784609
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1922103563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 EAST 50TH STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "212-533-3385",
            "fax_number": "212-832-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 EAST 55TH ST",
            "address_2": "C/O ELK DENTAL ASSOCIATES",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-593-1212",
            "fax_number": "212-832-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030169",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "30169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Liwag Gallagher, PT
• Shlomit Geisler, LCSW
• Madeline Jane Genende, LCSW-R
• Hinda Rochelle Gewirtz, PSYCHOANALYST
• Lisanne Godnick, LCSW
• Irving Grauer, D.D.S
• Rima Greenberg, LCSW
• Constance Ann Grey, LCSW
• Margaret L. Hainer, LCSW
• Joan B Harrison, PHD

• General Practice Dentistry in Nyc, NY
• Providers in Nyc, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.