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Gwen Lori Goodman

NPI 1689739138ActiveIndividual· Specialist· Manalapan, NJ

Specialist in Manalapan, New Jersey, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional and practitioner - registered dietitian or nutrition professional.

Overview

NPI1689739138
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedDec 26, 2006
Last updated in NPPESMar 17, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NJ); Practitioner - Registered Dietitian Or Nutrition Professional (NY)

Medicare sources and data years

Other Specialist providers in Manalapan

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