Organization Active NPI

Robert C Goodman DPM PC

  • Foot Surgery Podiatrist
  • Salem, MA
National Provider Identifier
1962505578
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MA1635 Issued in MA
Legal business name
ROBERT C GOODMAN DPM PC
Practice address
10 Colonial Rd Ste 8
Colonial Office Park
Salem, MA 01970-2947
Phone
(978) 744-4904
Fax
(978) 744-2589
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert C Goodman, DPM PCNPI 1588698468
Title
Owner President
Phone
(978) 744-4904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X MA1635 MA
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X MA1635 MA Primary

Addresses

Primary practice location

10 Colonial Rd Ste 8
Colonial Office Park
Salem, MA 01970-2947

Mailing address

10 Colonial Rd Ste 8
Colonial Office Park
Salem, MA 01970-2947
Phone (978) 744-4904

Other identifiers 1

IdentifierTypeStateIssuer
9753753MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000396 MA Part B Supplier - Clinic/Group Practice 8628086493 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, MA

National Provider Directory

National Provider Directory

Locations

10 Colonial Rd
Ste 8
Salem, MA 01970
Phone (508) 744-4904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962505578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLONIAL RD STE 8",
            "address_2": "COLONIAL OFFICE PARK",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702947",
            "telephone_number": "978-744-4904",
            "fax_number": "978-744-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COLONIAL RD STE 8",
            "address_2": "COLONIAL OFFICE PARK",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702947",
            "telephone_number": "978-744-4904",
            "fax_number": "978-744-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C GOODMAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "978-744-4904",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA1635",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "MA1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9753753",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.