Individual provider Active NPI

Gerri L Goodman, MD

  • Ophthalmology Physician
  • Hingham, MA
National Provider Identifier
1942200043
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
222192 Issued in MA
Practice address
160 Old Derby St Ste 451
Hingham, MA 02043-4062
Phone
(781) 534-3804
Fax
(817) 749-5853
NPI assigned
Jul 29, 2005
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 222192 MA Primary

Addresses

Primary practice location

160 Old Derby St Ste 451
Hingham, MA 02043-4062

Mailing address

160 Old Derby St Ste 451
Hingham, MA 02043-4062
Phone (781) 534-3804

Other identifiers 2

IdentifierTypeStateIssuer
110075324AMedicaidMA
J28395OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current Accepting new patients
Maida P Antigua Ophthalmology CurrentSince Sep 17, 2023 Accepting new patients
Nielsen Eye Center, Inc Past Accepting new patients
Anthony J. Kameen M D P a Ophthalmology Past Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

160 Old Derby St
Ste 451
Hingham, MA 02043
Phone (781) 749-5854

146 Church St
Pembroke, MA 02359
Phone (781) 826-2306

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

1900 Crown Colony Dr
Ste 301
Quincy, MA 02169
Phone (617) 472-5242

97 Libbey Industrial Pkwy
Ste 100
Weymouth, MA 02189
Phone (781) 331-3300

Interoperability endpoints

  • Direct secure messaging: goodman.gerri.ocb@direct.partners.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1942200043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OLD DERBY ST STE 451",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434062",
            "telephone_number": "781-534-3804",
            "fax_number": "781-749-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OLD DERBY ST STE 451",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434062",
            "telephone_number": "781-534-3804",
            "fax_number": "817-749-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "GERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "222192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075324A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J28395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.