Daniel Gottfried, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

356974 Issued in NY

Practice address

PO Box 17
Port Jefferson Station, NY 11776-0017

Phone

(631) 480-7788

NPI assigned

Nov 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: daniel.gottfried.1@3609.direct.athenahealth.com

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1457125809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760017",
            "telephone_number": "631-480-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760017",
            "telephone_number": "631-480-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "DANIEL",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Angelica Gonzalez
• Jesenia Gonzalez
• Nithya Gopal, M.D.
• Dinamarie Gordon, R.N.
• Kinjal Amit Gosalia, STUDENT
• Thomas Grandville, D.D.S.
• Iris Ann Granek, M.D.
• Arron Jordan Gravina
• Katherine McCauley Graziano, OTR/L, PT, DPT, CLT
• Keriann Marie Greehy, LPN

• Family Nurse Practitioner in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.