Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jack Goodman, MD PC

Organization Specialist · NPI 1164654729

Jack Goodman, MD PC provides Specialist services 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 Not confirmed with CMS for 17 years — call before visiting
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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