Puja Kakar Godhwani, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F308923-1 Issued in NY

Practice address

6144 Ny-25a
Building C Suite 13
Wading River, NY 11792

Phone

(631) 886-2844

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: puja.godhwani.1@19019.direct.athenahealth.com

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1265906085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOXRUN CT",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117761386",
            "telephone_number": "516-998-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 NY-25A",
            "address_2": "BUILDING C SUITE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "11792",
            "telephone_number": "631-886-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODHWANI",
        "first_name": "PUJA",
        "middle_name": "KAKAR",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Franzi, LMT
• Freed, Scherz, Kleinberg, Nussbaum, Festa, M.D. LLP
• Gabrielle Brooke Freund, LCSW
• Jane Gandiosi
• Ellyn Christen Gately, OTR/L
• Sanjay Godhwani, MD
• Marion R Golden, D.N.P.
• Katherine Edith Gosman, PT
• Josephine Gramarosso, RN
• Charles Greco, LCSW-R,BCD

• Adult Health Nurse Practitioner in Wading River, NY
• Providers in Wading River, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.