Organization Active NPI

David Godfried MD PC

  • Pediatric Orthopaedic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1053615252
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
006051 Issued in NY
Legal business name
DAVID GODFRIED MD PC
Practice address
1000 Northern Blvd
Suite 250
Great Neck, NY 11021-5312
Phone
(516) 439-4766
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Harris Godfried, MD
Title
Owner
Phone
(516) 439-4766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X 006051 NY Primary

Addresses

Primary practice location

1000 Northern Blvd
Suite 250
Great Neck, NY 11021-5312

Mailing address

PO Box 289
Manhasset, NY 11030-0289

National Provider Directory

National Provider Directory

Locations

1000 Northern Blvd
Ste 250
Great Neck, NY 11021
Phone (516) 439-4766

540 1st Ave
New York, NY 10016
Phone (212) 263-7458

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1053615252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110300289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "SUITE 250",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-439-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GODFRIED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GODFRIED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-439-4766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "006051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.