Jack Goodman
NPI 1114779626 · Internal Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Goodman is a Internal Medicine Physician provider in Philadelphia, PA (NPI 1114779626).
Provider details
- NPI number
- 1114779626
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-05
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Jack Goodman's NPI number?
- Jack Goodman's National Provider Identifier (NPI) is 1114779626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Goodman's specialty?
- Jack Goodman is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Goodman located?
- Jack Goodman's practice location on file with NPPES is 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405.
- What is Jack Goodman's phone number?
- The practice phone number listed in the NPPES registry for Jack Goodman is (215) 955-8465.
- Does Jack Goodman accept Medicare?
- Jack Goodman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Goodman's NPI active?
- Yes — Jack Goodman's NPI (1114779626) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.