DR. SHYAMALI V GODBOLE


Address: 5501 Old York Rd, Levy 2 West, Philadelphia, PA 19141-3018
Phone: 2154566959

DR. SHYAMALI V GODBOLE (NPI# 1073659272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073659272
Entity Type Individual
Full Name DR. SHYAMALI V GODBOLE
Credential MD
Practice Address 5501 Old York Rd
Levy 2 West
Philadelphia
PA 19141-3018
Mailing Address 101 E Olney Ave
Suite 400
Philadelphia
PA 19120-2421
Practice Telephone 2154566959
Practice Fax Number 2154562356
Mailing Telephone 2154567000
Mailing Fax Number 2154562356
Enumeration Date 2007-01-29
Last Update Date 2015-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
MD053000L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001474726 05

Office Location

Street Address 5501 OLD YORK RD
LEVY 2 WEST
City PHILADELPHIA
State PA
Zip Code 19141-3018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962331 Sean Janzer Internal Medicine 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 2005-06-17
1740897594 Tajmia G Mcintosh Nurse Practitioner 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-25
1104433200 Juan Pablo Solano Romero Student in an Organized Health Care Education/Training Program 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-23
1205442233 Rasha Elrefai Pediatrics 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-15
1124633847 Maria Carolina Musri Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-10
1295345916 Bakhtawer Siraj Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-08-06
1699383091 Sreenagavishnuvardha Motupalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-21
1750909222 Raja Srinivas Boddepalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-10
1306463518 Atif Iftikhar Nehvi Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-03
1821615345 Paulina Henriquez Rojas Psychiatry & Neurology 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1144852567 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-02-05
1649831736 Samar Hamdan Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2019-06-28
1003349838 Rosalind Usher Pediatrics 3401 Civic Center Blvd, Division of Developmental and Behavioral Pediatrics, Philadelphia, PA 19104-4319 2017-04-08
1780048405 Elizabeth Van De Graaf Janofsky Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104 2016-04-08
1538553060 Kathryn Nicole Hurst Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104 2015-03-23
1770926206 Sandhyaa Sudha Iyengar Pediatrics 3550 Market St, Philadelphia, PA 19104-3329 2013-04-15
1548355597 Childrens Health Care Associates, Inc Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 2006-10-04
1558325589 Maureen A. Fee Pediatrics 3601 A St, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1043 2006-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811506884 Janet J. Trychin Pediatrics 212 Cambridge Rd, Erie, PA 16511-1504 2020-07-27
1467924381 Developmental Integrative Pediatrics Pediatrics 60 Abele Rd Ste 1105a, Bridgeville, PA 15017-3467 2018-12-18
1528565165 Paula Sarteschi Pediatrics 2209 Quarry Dr Ste B23, Reading, PA 19609-1153 2018-04-10
1760614002 Kristen Ann Bransby Pediatrics 2985 Tiffany Dr, Lititz, PA 17543-8306 2009-08-20
1902925589 Craig Bradford Liden Pediatrics 4156 Kenneth Dr, Gibsonia, PA 15044-5324 2007-03-28
1093890238 David N Sharlin Pediatrics 55 Betts Drive, Washington Crossing, PA 18977-1356 2006-10-26
1700829348 Anila George Jacob Pediatrics 3420 Fifth Avenue, Room 236, Pittsburgh, PA 15213 2006-06-13
1952377509 Yvette M Janvier Pediatrics 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 2006-02-24
1104464742 Stc Pediatrics LLC Pediatrics 500 York Rd Ste 250, Jenkintown, PA 19046-2870 2019-12-13
1023656949 Stc Pediatrics LLC Pediatrics 1030 2nd Street Pike, Southampton, PA 18966-3955 2019-12-11
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Competitor

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City PHILADELPHIA
Zip Code 19141

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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