Goddard Riverside Community Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

7296471A Issued in NY

Legal business name

GODDARD RIVERSIDE COMMUNITY CENTER

Practice address

965 Columbus Ave
New York, NY 10025-3140

Phone

(212) 531-2727

Fax

(212) 531-3636

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Laurence Killian

Title

Chief Fiscal Officer

Phone

(212) 873-6600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Connolly

  • Social Worker
  • New York, NY
  • NPI 1629700752
  NPD (past)
• Zev Vel, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1982312690
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457444234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241904",
            "telephone_number": "212-873-6600",
            "fax_number": "212-595-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253140",
            "telephone_number": "212-531-2727",
            "fax_number": "212-531-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD RIVERSIDE COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "212-873-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "7296471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• God Is Love Foundation of America Inc.
• God's Love We Deliver, Inc.
• Sybil Happy Goday Pena, PHARMD
• Neha Godbole, MD
• Brandon Godbout, M.D.
• Frederic Goddard
• Gillian M Goddard, M.D.
• Stephan Goddard, LMCH
• Benjamin Godder, D.M.D.
• Sumana Goddu

• Voluntary or Charitable Agency in New York, NY
• Providers in New York, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.