DR. KYLE J GODFREY (NPI# 1104268994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104268994 |
| Entity Type | Individual |
| Full Name | DR. KYLE J GODFREY |
| Credential | M.D. |
| Practice Address |
1305 York Ave Fl 12 New York NY 10021-5663 |
| Mailing Address |
1305 York Ave 11th Floor New York NY 10021-5663 |
| Practice Telephone | 6469622020 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
A132536 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
287321 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36 Worth St, New York, NY 100132903 | 6469622020 | |
| 635 W 165th St, New York, NY 100323724 | 2123059535 | 2123055523 |
| Street Address |
1305 YORK AVE FL 12 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548333255 | Abby Brena Siegel | Internal Medicine | 1305 York Ave Fl 12, New York, NY 10021-5663 | 2006-11-17 |
| 1023641594 | Moses Joel Rodriguez | Nurse Practitioner | 1305 York Ave Fl 12, New York, NY 10021-5663 | 2020-02-12 |
| 1093254229 | Hilary Heyison | Registered Nurse | 1305 York Ave Fl 12, New York, NY 10021-5663 | 2017-02-21 |
| 1982089710 | Alison Hope Borenstein | Physician Assistant | 1305 York Ave Fl 12, New York, NY 10021-5663 | 2015-07-22 |
| 1528323177 | Gagandeep Brar | Internal Medicine | 1305 York Ave Fl 12, New York, NY 10021-5663 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814991 | Payal Patel Md P.C. | Ophthalmology | 436 3rd Ave # C-1, New York, NY 10016-6025 | 2019-04-30 |
| 1093766032 | Gary J Lelli Jr Jr. | Ophthalmology | 1305 York Ave Fl 11, New York, NY 10021-5663 | 2006-05-15 |
| 1215965934 | I Rand Rodgers | Ophthalmology | 229 E 79th St, New York, NY 10021-0866 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043757719 | Hudson Eye Plastic Surgery Pllc | Ophthalmology | 29 Crest Hollow Ln, Albertson, NY 11507 | 2017-01-19 |
| 1336174374 | Daniel K Khodadadian | Ophthalmology | 287 Northern Blvd Ste 101, Great Neck, NY 11021-4717 | 2006-07-11 |
| 1710980016 | Reginald E. Ishman | Ophthalmology | 2469 State Route 19 N, Warsaw, NY 14569-9336 | 2005-05-31 |
| 1942836689 | Brian H Chon Md Pllc | Ophthalmology | 245 N Broadway Ste 102, Sleepy Hollow, NY 10591-2657 | 2020-03-13 |
| 1992344931 | New York Eye and Face, Pllc | Ophthalmology | 245 N Broadway Ste 102, Sleepy Hollow, NY 10591-2657 | 2019-12-21 |
| 1659733541 | Sruti Akella | Ophthalmology | 111 E 210th St, Bronx, NY 10467-2401 | 2016-03-22 |
| 1801281225 | Michael Rothschild | Ophthalmology | 1220 New Scotland Rd Ste 302, Slingerlands, NY 12159-9386 | 2015-04-02 |
| 1841633989 | Stacy Marie Scofield-kaplan | Ophthalmology | 33 Research Way, East Setauket, NY 11733-3489 | 2013-04-08 |
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| 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.