MRS. PUJA KAKAR GODHWANI (NPI# 1265906085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265906085 |
| Entity Type | Individual |
| Full Name | MRS. PUJA KAKAR GODHWANI |
| Credential | AGNP |
| Practice Address |
6144 Ny-25a Building C Suite 13 Wading River NY 11792 |
| Mailing Address |
10 Foxrun Ct Port Jeff Sta NY 11776-1386 |
| Practice Telephone | 6318862844 |
| Mailing Telephone | 5169986505 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308923-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6144 NY-25A BUILDING C SUITE 13 |
| City | WADING RIVER |
| State | NY |
| Zip Code | 11792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336557230 | Danielle Schneider | Social Worker | 177 Cliff Rd West, Wading River, NY 11792 | 2014-07-24 |
| 1023428018 | Kristin Ponzini | Speech-Language Pathologist | 154 Sylvan Dr, Wading River, NY 11792 | 2014-04-30 |
| 1508281478 | Melissa Ellen Taylor | Audiologist | 5964 Route 25a, Wading River, NY 11792 | 2014-02-28 |
| 1992142285 | Alyssa Marie Wruck | Dentist | 6336 Ny 25-a, Suite 2, Wading River, NY 11792 | 2013-05-28 |
| 1639421803 | Barbara O. Higgins | Nutritionist | 12540 N Wading River Road, Little Flower Services, Wading River, NY 11792 | 2012-10-11 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1336461854 | George Gabriel Hershman | Pharmacist | 1815 Wading River Manorville Road, Wading River, NY 11792 | 2010-02-25 |
| 1225365950 | Anne Valerie Nienstedt | Family Medicine | 67 Karen Court, Wading River, NY 11792 | 2009-11-18 |
| 1497894828 | Katherine Edith Gosman | Physical Therapist | 2098 N Wading River Rd, Wading River, NY 11792 | 2007-02-05 |
| 1225174535 | Denise M Delise | Social Worker | 37 Randell Rd, Wading River, NY 11792 | 2007-01-30 |
| Find all providers in zip 11792 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785335 | Marret Anderson | Nurse Practitioner | 36 Cotton Tail Ct, Wading River, NY 11792-2187 | 2014-06-20 |
| 1659500270 | L.c. Nurse Practitioner In Adult Health Services Pllc | Nurse Practitioner | 90 Hidden Pond Path, Wading River, NY 11792-2175 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | WADING RIVER |
| Zip Code | 11792 |
Please comment or provide details below to improve the information on MRS. PUJA KAKAR GODHWANI.
| 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.