Active NPI
Godney Paulin
- Physician Assistant
- Pembroke Pines, FL
National Provider Identifier
1407305550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9109922
- Practice address
- 601 N Flamingo Rd Ste 213
Pembroke Pines, FL 33028-1009 - Phone
- (954) 659-0115
- NPI assigned
- Sep 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9109922 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd Ste 213
Pembroke Pines, FL 33028-1009
Mailing address
601 N Flamingo Rd Ste 213
Pembroke Pines, FL 33028-1009
Phone (954) 659-0115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9109922 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1407305550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281009",
"telephone_number": "954-659-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281009",
"telephone_number": "954-659-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULIN",
"first_name": "GODNEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-30",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9109922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.