Jennifer Marie Godlewski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

015166-1 Issued in NY

Practice address

5496 E Taft Rd
North Syracuse, NY 13212-3773

Phone

(315) 552-6700

NPI assigned

Sep 13, 2006

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Anesthesiology Medical Specialties PCGroup PAC ID 3375535396, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

95.25

Improvement activities

40

Cost

76.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• New York Anesthesiology Medical Specialties PC

  dba New York Spine and Wellness Center

  • Interventional Pain Medicine Physician
  • North Syracuse, NY
  • NPI 1841285996
  Medicare reassignment Care Compare group NPD
• New York Anesthesiology Medical Specialties, PC

  dba New York Spine and Wellness Center

  • Durable Medical Equipment & Medical Supplies
  • Camillus, NY
  • NPI 1023497203
  NPD
• Suzanne M Lamanna DO PLLC

  • Family Medicine Physician
  • N Syracuse, NY
  • NPI 1780873406
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1568567899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140510",
            "telephone_number": "315-552-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 E TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123773",
            "telephone_number": "315-552-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015166-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03439278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellen Gerace, MA, LP-MFT
• Corey Anthony Giannone, LMSW
• Sandra E Gibson, PA
• Felicia Glasford
• Julie Glaza, NP
• Hope Brown Goettel, MSED
• Summer Ann Goetz, FNP
• Gold Star Contract SVCS Inc
• Gold Star Pharmacy Inc (Gold Star Pharmacy)
• Melissa Anne Graves, LMSW

• Medical Physician Assistant in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.
• 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.