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Physician Compare National (NPI:1326081837)

HEALTHCARE PROVIDER: ROBERT GOODMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1326081837
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618061128
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190509000904
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GOODMAN
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TUFTS UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1978
Individual professional's medical school graduation year
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name LENOX HILL RADIOLOGY AND MEDICAL IMAGING ASSOCIATES PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2264424712
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 143
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3971 GULF SHORE BLVD N
Group Practice or individual's line 1 address
Line 2 Street Address APT 1203
Group Practice or individual's line 2 address
City NAPLES
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 341032104
Group Practice or individual's zip code (9 digits when available)
Phone Number 5852188002
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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