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.
Healthcare Provider's Profile
Full Name | Mr Justin Blake Goodman |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 1301 York Rd Ste 800, Timonium, Maryland |
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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 |
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