Mr Justin Blake Goodman, RD, LDN in Timonium, MD - Medicare Registered Dietitian Or Nutrition Professional Provider

Mr Justin Blake Goodman, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Timonium, Maryland. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. His current practice location is 1301 York Rd Ste 800, Timonium, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 686-0459.

Mr Justin Blake Goodman is licensed to practice in Maryland (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962157503.

Contact Information

	Mr Justin Blake Goodman, RD, LDN
	1301 York Rd Ste 800, Timonium, MD 21093-6011
	(410) 686-0459
	(425) 242-3401

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Justin Blake Goodman
Gender	Male
Speciality	Registered Dietitian Or Nutrition Professional
Experience	7 Years
Location	1301 York Rd Ste 800, Timonium, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Justin Blake Goodman graduated from medical school in 2018

NPI Data:

NPI Number: 1962157503
Provider Enumeration Date: 02/12/2022
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 4385143288
Enrollment ID: I20250818003064

Medical Identifiers

Medical identifiers for Mr Justin Blake Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962157503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin Blake Goodman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Justin Blake Goodman, RD, LDN 9232 Ravenwood Rd, Rosedale, MD 21237-3425 Ph: (443) 803-2381	Mr Justin Blake Goodman, RD, LDN 1301 York Rd Ste 800, Timonium, MD 21093-6011 Ph: (410) 686-0459

Reviews and Comments

Dietitian, Registered in Timonium, MD

Nutrition Connection, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1734 York Rd, Timonium, MD 21093 Phone: 410-252-2273 Fax: 410-321-5050
Synergy Medical Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1205 York Rd Ste 11, Timonium, MD 21093 Phone: 443-325-0031

Mr Justin Blake Goodman, RD, LDN - Medicare Dietitian in Timonium, MD