OrganizationActive
Jack Goodman, M.D. PC
NPI 1164654729 · Specialist · Poughkeepsie, NY
Jack Goodman, M.D. PC is a Specialist organization in Poughkeepsie, NY (NPI 1164654729).
Provider details
- NPI number
- 1164654729
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jack Goodman, Owner(845) 454-0415
- License
- 086055 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% 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
9 Livingston St
Suite 9
Poughkeepsie, NY 12601-4719
Phone: (845) 454-0415
Fax: (845) 454-0914
Street-level locationGet directions
Mailing address
9 Livingston St
Poughkeepsie, NY 12601-4719
Registry dates
- Enumerated
- 2009-08-17
- Last updated
- 2009-08-17
Frequently asked questions
- What is Jack Goodman, M.D. PC's NPI number?
- Jack Goodman, M.D. PC's National Provider Identifier (NPI) is 1164654729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Goodman, M.D. PC?
- Jack Goodman, M.D. PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jack Goodman, M.D. PC located?
- Jack Goodman, M.D. PC's practice location on file with NPPES is 9 Livingston St, Poughkeepsie, NY 12601-4719.
- What is Jack Goodman, M.D. PC's phone number?
- The practice phone number listed in the NPPES registry for Jack Goodman, M.D. PC is (845) 454-0415.
- Who is the authorized official for Jack Goodman, M.D. PC?
- The authorized official listed on Jack Goodman, M.D. PC's NPPES record is Jack Goodman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Goodman, M.D. PC's NPI active?
- Yes — Jack Goodman, M.D. PC's NPI (1164654729) is active in the NPPES registry as of the last update on 2009-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.