Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Goodman, MD PC

Organization Specialist · NPI 1164654729

Jack Goodman, MD PC is a Specialist in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Livingston St Ste 9
Poughkeepsie, NY 12601-4719
Phone: (845) 454-0415
Fax: (845) 454-0914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 086055 (NY)

Record details

NPI number1164654729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Goodman — Owner · (845) 454-0415
NPI enumeratedAugust 17, 2009
Last updated in NPPESAugust 17, 2009
Mailing address9 Livingston St, Suite 9, Poughkeepsie, NY 12601-4719

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