Individual provider Active NPI

Johanna Francesca Godoy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1528220084
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006279-1 Issued in NY
Practice address
468 Parish Dr Ste 4
Wayne, NJ 07470-4671
Phone
(212) 410-8145
NPI assigned
Jun 26, 2008
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006279-1 NY Primary

Addresses

Primary practice location

468 Parish Dr Ste 4
Wayne, NJ 07470-4671

Mailing address

PO Box 95000
Philadelphia, PA 19195-0001
Phone (844) 362-1735

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081015000270 NY Practitioner - Podiatry 8921166257 Reassigns benefits to 4 organizations
I20110819000088 NJ Practitioner - Podiatry 8921166257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Health PartnersGroup PAC ID 9335494509, 28 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

333 Route 46 W
Suite 106
Mountain Lakes, NJ 07046-1743
Phone (973) 829-7965

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions22
Removal of nail tissue157
Removal or shaving of skin growth87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006279-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Sep 8, 2024 Accepting new patients
Atlantic Health Partners CurrentSince Jun 3, 2024 Accepting new patients
Atlantic Health Partners Foot & Ankle Surgery CurrentSince Jun 3, 2024 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 23, 2009 Accepting new patients
Foot Clinics of New York CurrentSince Jul 1, 2008 Accepting new patients

Locations

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1901 1st Ave
Rm 5
New York, NY 10029
Phone (212) 423-7095

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

53 E 124th St
New York, NY 10035
Phone (212) 410-8000

55 E 124th St
New York, NY 10035
Phone (212) 410-8112

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jgodoy65044@direct.ahsys.org
  • Direct secure messaging: jgodoy840092@nychhc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1528220084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 PARISH DR STE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704671",
            "telephone_number": "212-410-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "JOHANNA",
        "middle_name": "FRANCESCA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.