Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174541312 Individual Practitioner Female Practitioner

Dr. Jennifer G. Goodale , DDS

Dentist • Peekskill, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Goodale, DDS is a registered healthcare professional specializing in Dentist in Peekskill, NY. Practice services are available at 1037 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1037 Main St
Hudson River Healthcare, Inc.

Peekskill, NY 105662913

Telephone 9147348800
Fax 9147348799
Associated Practice Facility / Clinic
🏢 Sun River Health Inc. Facility NPI 1619969458

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peekskill, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Peekskill, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 052172

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00473038 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Daniel Koblentz , MD

Psychiatry & Neurology - Psychiatry

NPI 1043235435

Doctor of Medicine (M.D.)

NPI 1043323074

Doctor of Medicine (M.D.)

Edwin Calero , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1043375165
Karen Mahakian , RDH

Dental Hygienist

NPI 1114183092

Registered Dental Hygienist

Robert Ethridge , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1134520844
Archie Shaw , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1154486199

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC., PEEKSKILL, NY 105662913 (Tel: 9147348800)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1200 BROWN ST, 4TH FLOOR - CREDENTIALING, PEEKSKILL, NY 105663617 (Tel: 9147348858)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JENNIFER GOODALE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #052172 in NY)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174541312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

1200 Brown St, 4th Floor - Credentialing

Peekskill, NY 105663617

Phone: 9147348858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.