Individual provider Active NPI

Cecilia Godoy, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1487002366
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
300313 Issued in NY
Practice address
800 Grand Concourse FRNT 3
Bronx, NY 10451-3003
Phone
(718) 401-8943
Fax
(718) 401-8945
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 300313 NY Primary

Addresses

Primary practice location

800 Grand Concourse FRNT 3
Bronx, NY 10451-3003

Mailing address

800 Grand Concourse FRNT 3
Bronx, NY 10451-3003
Phone (718) 401-8943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220209001870 NY Practitioner - Pediatric Medicine 6002209301 Reassigns benefits to 1 organization
I20220908000048 NJ Practitioner - Pediatric Medicine 6002209301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300313NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Sep 1, 2022 Accepting new patients
Refuah Health Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Refuah Health Center Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

141 N Kinderkamack Rd
Montvale, NJ 07645
Phone (201) 693-0890

135 N Kinderkamack Rd
Montvale, NJ 07645
Phone (201) 476-0040

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

728 N Main St
Ste C
New Square, NY 10977
Phone 84535493001826

Interoperability endpoints

  • Direct secure messaging: cecilia.godoy.1@5622.direct.athenahealth.com
  • Direct secure messaging: cecilia.godoy.1@18107.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1487002366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE FRNT 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "718-401-8943",
            "fax_number": "718-401-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE FRNT 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "718-401-8943",
            "fax_number": "718-401-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "CECILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "300313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.