JOSHUA SCACCIA GOODMAN PA
NPI 1356041123
Physician Assistant - Medical in Lakeville, NY

Q: What is Joshua Goodman's NPI number?

The NPI number for Joshua Goodman is 1356041123. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Q: What is Joshua Goodman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Goodman was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since March 09, 2023PECOS Enrolled

5989 BIG TREE RD STE A, LAKEVILLE, NY 14480(585) 346-4460 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Jul 6, 2023, Mar 9, 2023 (3 updates tracked since 2023).

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About Joshua Scaccia Goodman Pa NPPES

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

JOSHUA SCACCIA GOODMAN PA (NPI 1356041123) is an individual medical provider in Lakeville, New York, licensed in New York (029399) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356041123

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSHUA SCACCIA GOODMANCredential: PA

Location Address5989 BIG TREE RD STE ALakeville, NY 14480-9719

Mailing Address5989 Big Tree Rd Ste ALakeville, NY 14480-9719 · (585) 346-4460

Phone(585) 346-4460

Sole ProprietorNo

Enumeration DateMarch 9, 2023

Last NPPES UpdateMay 4, 20253 updates tracked since enumeration

NPPES CertifiedMay 4, 2025

✔ NPI 1356041123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 029399

5989 BIG TREE RD STE A, Lakeville, NY 14480

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Scaccia Goodman Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Joshua Goodman's NPI number?

The NPI number for Joshua Goodman is 1356041123. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Joshua Goodman located?

Joshua Goodman practices at 5989 Big Tree Rd Ste A, Lakeville, NY 14480. The listed phone number is (585) 346-4460.

What is Joshua Goodman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joshua Goodman enrolled in Medicare?

Yes. Joshua Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Goodman was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.