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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOLLY GOODMAN
NPI 1194475830
Obstetrics & Gynecology in Wilkes Barre, PA

Active since March 25, 2022
1155 EAST MTN BLVD, WILKES BARRE, PA 18702(570) 808-7916(570) 808-6006 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Molly Goodman NPPES

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

MOLLY GOODMAN (NPI 1194475830) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS026318) and active in the NPI registry since March 2022. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1194475830
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMOLLY GOODMAN
Location Address1155 EAST MTN BLVDWilkes Barre, PA 18702-7906
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7916 · Fax (570) 808-6006
Phone(570) 808-7916
Fax(570) 808-6006
Sole ProprietorNo
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1194475830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · OS026318
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1155 EAST MTN BLVD, Wilkes Barre, PA 18702
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Secondary Practice Location 1

Location 11425 Portland Ave Apt 17Rochester, NY 14621-3011 · Phone (518) 694-6722

Other Providers at the Same Location NPPES 6

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

LIANA LAVRINC PA-C
Physician Assistant
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
DR. MARCUS L. ELIAS MD
Dermatology
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-6113
MISS ANNETTE VERONICA WAGNER M.D.
Obstetrics & Gynecology
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
DR. RICHARD MARTIN CHUDACOFF MD
Obstetrics & Gynecology
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
JAMIE MANCHERIL CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-7916
GLENDA KOUNS GRADY ARNP
Nurse Practitioner (Family)
1155 EAST MTN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-6113

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 Molly Goodman's NPI number?

The NPI number for Molly Goodman is 1194475830. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Molly Goodman located?

Molly Goodman practices at 1155 East Mtn Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 808-7916.

What is Molly Goodman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Molly Goodman was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.