DR. KENNETH GOODMAN M.D.
NPI 1174539357
Radiology - Diagnostic Radiology in Roslyn, NY

Active since July 31, 2006
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6510 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth Goodman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH GOODMAN M.D. (NPI 1174539357) is an individual diagnostic radiology provider in Roslyn, New York, licensed in New York (117490) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174539357
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KENNETH GOODMANCredential: M.D.
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1353
Mailing AddressPo Box 30301Staten Island, NY 10303-0301 · (516) 562-6510
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 19, 2010
NPI 1174539357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 117490
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

100 PORT WASHINGTON BLVD, Roslyn, NY 11576

Other Identifiers 2

Medicare UPINC06116NY
Medicare ID-Type Unspecified16A301NY · Medicare Provider Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Anesthesiology
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Specialist
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Geriatric Medicine)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Specialist
100 PORT WASHINGTON BLVD, SUITE G03
ROSLYN, NY 11576
Specialist
100 PORT WASHINGTON BLVD, SUITE G03
ROSLYN, NY 11576
Specialist
100 PORT WASHINGTON BLVD, SUITE G03
ROSLYN, NY 11576
Anesthesiology
100 PORT WASHINGTON BLVD, NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.
ROSLYN, NY 11576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Goodman's NPI number?

The NPI number for Kenneth Goodman is 1174539357. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kenneth Goodman located?

Kenneth Goodman practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6510.

What is Kenneth Goodman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kenneth Goodman was last updated on November 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.