Provider Demographics
NPI:1144313131
Name:GOODNIGHT, JAMES W (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:GOODNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 HIGH MOUNTAIN RD
Mailing Address - Street 2:SUITE110
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2665
Mailing Address - Country:US
Mailing Address - Phone:973-427-2711
Mailing Address - Fax:973-427-2770
Practice Address - Street 1:535 HIGH MOUNTAIN RD
Practice Address - Street 2:SUITE110
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2665
Practice Address - Country:US
Practice Address - Phone:973-427-2711
Practice Address - Fax:973-427-2770
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06252500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist