Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JACK GOODMAN, M.D. PC
Active
Organization
JACK GOODMAN, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK GOODMAN MD (OWNER)
(845) 454-0415
Entity
Organization
Contact information
Practice address
9 LIVINGSTON ST, SUITE 9, POUGHKEEPSIE, NY 12601-4719
(845) 454-0415
(845) 454-0914
Mailing address
9 LIVINGSTON ST, SUITE 9, POUGHKEEPSIE, NY 12601-4719
(845) 454-0415
(845) 454-0914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
086055
NY
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up