{"npi":"1154858033","type":"NPI-1","status":"active","name":{"display":"Dr. Mark Goodenough DDS, MD","other":[],"first":"MARK","last":"GOODENOUGH","credential":"DDS, MD"},"specialty":{"primary_taxonomy":"204E00000X","primary_taxonomy_description":"Oral & Maxillofacial Surgery (D.M.D.)","slug":"oral-maxillofacial-surgery-d-m-d","schema_org_specialty":null,"all":[{"code":"204E00000X","description":"Oral & Maxillofacial Surgery (D.M.D.)","primary":true,"state":"NY","license":"063143"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"NY","license":"311698"}]},"addresses":[{"purpose":"LOCATION","street_1":"256C MASON AVE","city":"STATEN ISLAND","state":"NY","postal_code":"103053408","country_code":"US","phone":"7182261251"},{"purpose":"MAILING","street_1":"256 MASON AVE # C","city":"STATEN ISLAND","state":"NY","postal_code":"103053408","country_code":"US","phone":"7182261251"}],"license":{"state":"NY","number":"063143"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230929001677","type_code":"14-19","type_desc":"PRACTITIONER - ORAL SURGERY","state":"NY","pac_id":"6800240433"}]},"enumeration_date":"2017-05-22","last_updated":"2024-06-26","_meta":{"source":"NPPES","snapshot_date":"2024-06-26","doc_url":"https://findmynpi.com/api"}}