Individual provider Active NPI

Victoria Goodman, MS,RD

  • Registered Dietitian
  • Jenkintown, PA
National Provider Identifier
1942534730
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
610 Old York Rd
Suite 70
Jenkintown, PA 19046
Phone
(215) 920-4656
Fax
(215) 887-9752
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

610 Old York Rd
Suite 70
Jenkintown, PA 19046

Mailing address

610 Old York Rd
Suite 70
Jenkintown, PA 19046
Phone (215) 920-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000073 PA Practitioner - Registered Dietitian Or Nutrition Professional 6709929680 Practice locations: Jenkintown, PA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 Old York Rd
Suite 70
Jenkintown, PA 19046-1412
Phone (215) 920-4656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Goodman Dietitian, Registered PastSince Feb 1, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1942534730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OLD YORK RD",
            "address_2": "SUITE 70",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-920-4656",
            "fax_number": "215-887-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OLD YORK RD",
            "address_2": "SUITE 70",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-920-4656",
            "fax_number": "215-887-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MS,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.