Active NPI
Andrew Godenick
- Naturopath
- Green Brook, NJ
National Provider Identifier
1639736341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 354
- Practice address
- 3 Woodlawn Ave
Green Brook, NJ 08812-2320 - Phone
- (908) 219-7892
- NPI assigned
- May 29, 2019
- Last updated
- May 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 354 | CT | Primary |
Addresses
Primary practice location
3 Woodlawn Ave
Green Brook, NJ 08812-2320
Mailing address
3 Woodlawn Ave
Green Brook, NJ 08812-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1639736341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODLAWN AVE",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088122320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WOODLAWN AVE",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088122320",
"telephone_number": "908-219-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODENICK",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Brook, NJ
- Gall & Casterline PC
- Kevin A. Gall, DC
- Elvira A. Garcia, APN-C
- Get Physical, LLC (Fyzical Therapy & Balance Centers)
- Alisa Margaret Ghanaim, PA-C
- Green Brook Family Dentalcare LLC
- Green Brook Township Public Schools
- Green Brook Vision Associates Inc (Saft Opticians)
- Greenbrook Dental, LLC
- Greenbrook Manor Care & Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.