Individual provider Active NPI

Neetu Godhwani, MD

  • Allergy & Immunology Physician
  • Danbury, CT
National Provider Identifier
1235530155
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
56612 Issued in CT
Practice address
107 Newtown Rd Ste 1B
Danbury, CT 06810-4151
Phone
(203) 748-7433
Fax
(203) 790-5324
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 56612 CT Primary

Addresses

Primary practice location

107 Newtown Rd Ste 1B
Danbury, CT 06810-4151

Mailing address

107 Newtown Rd Ste 1B
Danbury, CT 06810-4151
Phone (203) 748-7433

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807000854 CT Practitioner - Allergy/Immunology 0345545364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Specialty Care, P.C.Group PAC ID 2567353121, 24 clinicians

Practice addresses (Care Compare)

107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Specialty Care, P.C. Allergy & Immunology CurrentSince Aug 7, 2017 Accepting new patients
Allergy & Asthma Assoc., P.C. PastSince Jul 24, 2022 Accepting new patients
Advanced Audiology & Hearing Aid Services PastSince Aug 7, 2017 Accepting new patients

Locations

107 Newtown Rd
Ste 1B
Danbury, CT 06810
Phone (203) 748-7433

107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700

488 Main Ave
Norwalk, CT 06851
Phone (203) 838-0442

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: neetu.godwhanimd.p1@direct.asc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235530155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 1B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104151",
            "telephone_number": "203-748-7433",
            "fax_number": "203-790-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 1B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104151",
            "telephone_number": "203-748-7433",
            "fax_number": "203-790-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODHWANI",
        "first_name": "NEETU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "56612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.