Active NPIIndividual providerSole proprietor

Dr. Jeffrey A Goodman, DMD

Dentist, Prosthodontics in Green Village, New Jersey

NPI Number1619042587
Practice location
661 Shunpike RD, Suite #1, Green Village, NJ 07935-3022
Fax
973-377-8847
Last updated
July 8, 2007

Jeffrey Alexander Goodman is a Dentist, Prosthodontics based in Green Village, NJ. Jeffrey Alexander Goodman practices in Green Village, NJ and has the professional credentials of DMD. The NPI Number for Jeffrey Alexander Goodman is 1619042587 and holds a License No. 22DI01348500 (NJ). The current practice location address for Jeffrey Alexander Goodman is 661 Shunpike RD, Suite #1, Green Village, NJ 07935-3022 and can be reached out via phone at 973-377-8811 and via fax at 973-377-8847.

Provider Profile Details

NPI Number
1619042587
Provider Name
Jeffrey Alexander Goodman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
661 Shunpike RD, Suite #1, Green Village, NJ 07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
661 Shunpike RD
Suite #1
Green Village, NJ 07935-3022
Zip
07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847
Green Village, NJ 07935Get directions →

Provider Business Mailing Address Details

Address
661 Shunpike RD
Suite #1
Green Village, NJ 07935-3022
City
Green Village
State
NJ
Zip
07935-3022
Phone Number
973-377-8811
Fax Number
973-377-8847

License Information

License Number
22DI01348500
License State
NJ
Taxonomy
Dentist, Prosthodontics · 1223P0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeffrey A Goodman, DMD?

The NPI number of Dr. Jeffrey A Goodman, DMD is 1619042587. It was assigned on November 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey A Goodman, DMD?

Dr. Jeffrey A Goodman, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in NJ under license number 22DI01348500.

Where does Dr. Jeffrey A Goodman, DMD practice?

The practice location is 661 Shunpike RD, Suite #1, Green Village, NJ 07935-3022. The office can be reached at 973-377-8811 (phone) or 973-377-8847 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619042587 directly on the NPPES registry website.

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