DR. IRMA G GODOY (NPI# 1265605703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265605703 |
| Entity Type | Individual |
| Full Name | DR. IRMA G GODOY |
| Credential | DPM |
| Practice Address |
612 Alps Rd Wayne NJ 07470-3904 |
| Practice Telephone | 9738324061 |
| Practice Fax Number | 9738324062 |
| Mailing Telephone | 9738324061 |
| Mailing Fax Number | 9738324062 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
25MD00295200 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE PTAN | 136309CX9 | 01 |
| NJ | GROUP MEMBER PTAN | 136309ZBJF | 01 |
| NJ | GROUP MEMBER PTAN | 136309CX9 | 01 |
| Street Address |
612 ALPS RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245480003 | Alps Road Family Foot and Ankle | Clinic/Center | 612 Alps Rd, Wayne, NJ 07470-3904 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093899 | David A Bernstein | Podiatrist | 308 N Wayne Ave, Wayne, PA 19087-3218 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
| 1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
| 1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
| 1346695335 | Raphael Yeung | Podiatrist | 252 Bridge St Bldg G2nd, Metuchen, NJ 08840-2294 | 2016-04-27 |
| 1770913493 | New Jersey Podiatric Physicians and Surgeons Group,llc | Podiatrist | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | 2013-11-15 |
| 1215205992 | Port Richmond Family Footcare, PC | Podiatrist | 1561 Route 38 Ste 4, Lumberton, NJ 08048-2939 | 2011-12-08 |
| 1033400593 | Nj Foot Docs PC | Podiatrist | 148 Route 31, 2nd Floor, Flemington, NJ 08822-4967 | 2011-05-02 |
| 1932413606 | Home Foot Care Services LLC | Podiatrist | 40 Stirling Rd Ste 207, Watchung, NJ 07069-5900 | 2010-08-04 |
| 1538480678 | Dr. David Plotkin P.a. | Podiatrist | 619 Morris Avenue, Springfield, NJ 07081-1511 | 2010-06-11 |
| 1114241387 | Kopylenko Dpm PC | Podiatrist | 4 Bridge Plaza Dr Ste 6, Manalapan, NJ 07726 | 2010-03-17 |
| Find all providers with the same taxonomy | ||||
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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.