Jaime Goodman, C.PED

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED1770 Issued in NY

Practice address

1659 Central Ave
Albany, NY 12205-4050

Phone

(518) 869-0021

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1932670130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MOSS RD",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121865042",
            "telephone_number": "518-653-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054050",
            "telephone_number": "518-869-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JAIME",
        "credential": "C.PED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NY",
            "license": "CPED1770",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "NY",
            "license": "CPED1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Kay Goodermote
• Erin Ann Goodfellow, LCSW
• Aylah Goodfriend
• David Scott Goodman
• Grace Goodman, RN
• Kelley Goodman, L.M.S.W
• Cecelia Jeanne Gookin, M.S. O.T.R.
• Elana B Gordis, PH.D.
• Charles Gordon Jr., PA-C
• McKennalee Gloria Gordon, LPN

• Pedorthist in Albany, NY
• Providers in Albany, NY by specialty
• Pedorthist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.