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KENNETH GOODMAN M.D.
NPI 1730382714
Anesthesiology in Manhasset, NY

Active since June 07, 2007Opted out of Medicare · through Jun 24, 2028
1615 NORTHERN BLVD, MANHASSET, NY 11030(718) 217-2896(718) 217-4471 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Goodman M.d. NPPES

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

KENNETH GOODMAN M.D. (NPI 1730382714) is an individual anesthesiology provider in Manhasset, New York, licensed in New York (157166-1) and active in the NPI registry since June 2007. She has opted out of Medicare through June 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730382714
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKENNETH GOODMANCredential: M.D.
Location Address1615 NORTHERN BLVDManhasset, NY 11030
Mailing Address345 Birdsall DriveYorktown Heights, NY 10598 · (718) 217-2896 · Fax (718) 217-4471
Phone(718) 217-2896
Fax(718) 217-4471
Sole ProprietorYes
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730382714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 157166-1
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1615 NORTHERN BLVD, Manhasset, NY 11030
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Other Identifiers 1

Medicare ID-Type UnspecifiedKG051D1230NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kenneth Goodman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2018 through June 24, 2028.

Opt-Out Effective DateJune 24, 2018
Opt-Out In Effect ThroughJune 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MOUNT SINAI SCHOOL OF MEDICINE
Internal Medicine
1615 NORTHERN BLVD
MANHASSET, NY 11030
Nassau County (516) 627-3717
KATHERINE FRANGOS AUDIOLOGY, P.C.
Clinic/Center (Hearing and Speech)
1615 NORTHERN BLVD, SUITE 201
MANHASSET, NY 11030
Nassau County (516) 365-7952
MANHASSET EYE PHYSICIANS, P.C.
Specialist
1615 NORTHERN BLVD, SUITE 202
MANHASSET, NY 11030
Nassau County (516) 627-0146
MR. KIHO LEE L.AC
Acupuncturist
1615 NORTHERN BLVD, SUITE 202
MANHASSET, NY 11030
Nassau County (917) 945-8780
DR. RICHARD J TRONGONE M.D.
Obstetrics & Gynecology
1615 NORTHERN BLVD, SUITE 106
MANHASSET, NY 11030
Nassau County (516) 365-2500
KATHERINE ANASTASIA FRANGOS
Audiologist
1615 NORTHERN BLVD, SUITE 201
MANHASSET, NY 11030
Nassau County (516) 365-7952
SHERRY REILL ANP-C
Nurse Practitioner (Adult Health)
1615 NORTHERN BLVD, SUITE 301
MANHASSET, NY 11030
Nassau County (516) 732-1422
MARIA BROUNTZAS M.D.
Internal Medicine
1615 NORTHERN BLVD
MANHASSET, NY 11030
Nassau County (516) 627-3717

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 1730382714. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Kenneth Goodman located?

Kenneth Goodman practices at 1615 Northern Blvd, Manhasset, NY 11030. The listed phone number is (718) 217-2896.

What is Kenneth Goodman's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kenneth Goodman enrolled in Medicare?

No. Kenneth Goodman has opted out of Medicare through June 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kenneth Goodman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.