Mr Justin Blake Goodman, RD, LDN in Timonium, MD

Mr Justin Blake Goodman, RD, LDN is a Dietitian, Registered based in Timonium, Maryland. Mr Justin Blake Goodman is licensed to practice in Maryland (license number ) and his current practice location is 1301 York Rd Ste 800, Timonium, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 686-0459.

NPI number for Mr Justin Blake Goodman is 1962157503 and his current mailing address is 9232 Ravenwood Rd, Rosedale, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962157503.

Contact Information

	Mr Justin Blake Goodman, RD, LDN
	1301 York Rd Ste 800, Timonium, MD 21093-6011
	(410) 686-0459
	(425) 242-3401

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Justin Blake Goodman
Gender	Male
Speciality	Dietitian, Registered
Location	1301 York Rd Ste 800, Timonium, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962157503
Provider Enumeration Date: 02/12/2022
Last Update Date: 08/11/2023

Medical Identifiers

Medical identifiers for Mr Justin Blake Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962157503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(Maryland)	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. Mr Justin Blake 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
Mr Justin Blake Goodman, RD, LDN 9232 Ravenwood Rd, Rosedale, MD 21237-3425 Ph: (443) 803-2381	Mr Justin Blake Goodman, RD, LDN 1301 York Rd Ste 800, Timonium, MD 21093-6011 Ph: (410) 686-0459

Reviews and Comments

Dietitian, Registered in Timonium, MD

Jennifer Papastephanou Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1734 York Rd, Timonium, MD 21093 Phone: 410-252-2273 Fax: 410-321-5050
Gro Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 York Rd Ste 800, Timonium, MD 21093 Phone: 410-686-0459 Fax: 425-242-3401

Mr Justin Blake Goodman, RD, LDN - Dietitian in Timonium, MD