OrganizationActive
Shelley Z Goodman PHD
NPI 1679362040 · Preferred Provider Organization · Elkins Park, PA
Provider details
- NPI number
- 1679362040
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Shelley Goodman, Director(215) 782-1297
Specialties & taxonomies
Managed Care Organizations
Practice location
7401 Old York Rd
Elkins Park, PA 19027-3005
Phone: (215) 782-1297
Fax: (215) 754-0999
Approximate (ZIP-level) locationGet directions
Mailing address
7857 Spring Ave
Elkins Park, PA 19027-2619
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-02
- Certified
- 2025-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.