Andrew Godenick
Individual provider Active NPI Naturopath · Green Brook, NJ
NPI 1639736341 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1639736341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 354 (CT)
- Practice address
- 3 Woodlawn Ave
Green Brook, NJ 08812-2320 - Phone
- (908) 219-7892
- NPI assigned
- May 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354 | CT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 354 | CT | Yes |
Addresses
Primary practice location
3 Woodlawn Ave
Green Brook, NJ 08812-2320
Mailing address
3 Woodlawn Ave
Green Brook, NJ 08812-2320
Other providers in Green Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.