Dr Jeffrey Alexander Goodman, DMD is a
Dentist - Prosthodontics based in Green Village, New Jersey. Dr Jeffrey Alexander Goodman is licensed to practice in New Jersey (license number 22DI01348500) and his current practice location is
661 Shunpike Rd, Suite #1, Green Village, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 377-8811.
NPI number for Dr Jeffrey Alexander Goodman is 1619042587 and his current mailing address is 661 Shunpike Rd, Suite #1, Green Village, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619042587.
Healthcare Provider's Profile
Full Name | Dr Jeffrey Alexander Goodman |
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Gender | Male |
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Speciality | Dentist - Prosthodontics |
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Location | 661 Shunpike Rd, Green Village, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619042587
- Provider Enumeration Date: 11/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jeffrey Alexander Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619042587 | NPI | - | NPPES |
22DI01348500 | Other | NJ | LICENSE REGISTRATION CERT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0700X | Dentist - Prosthodontics | 22DI01348500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Alexander Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jeffrey Alexander Goodman, DMD 661 Shunpike Rd, Suite #1, Green Village, NJ 07935-3022 Ph: (973) 377-8811 | Dr Jeffrey Alexander Goodman, DMD 661 Shunpike Rd, Suite #1, Green Village, NJ 07935-3022 Ph: (973) 377-8811 |
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