Elizabeth Susan Godshall, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

295407 Issued in NY

Practice address

3795 Crompond Rd
Cortlandt Manor, NY 10567-7214

Phone

(800) 633-8446

Fax

(888) 502-6582

NPI assigned

Jun 5, 2012

Last updated

Jan 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 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

Specialty

General Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: egodshall65704@northwell.direct-ci.com
• Direct secure messaging: elizabethgodshall@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: nybg.elizabethgodshall@136202.advancedmd-direct.com

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 Bariatric Surgery Group PLLC

  dba Premier Bariatric Surgery, PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1164898821

  CT

  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Long Island Minimally Invasive Surgery, P.C.

  • Specialist
  • Roslyn Heights, NY
  • NPI 1356545867
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  NPD
• Premier Bariatric New Jersey PC

  • Specialist
  • Wayne, NJ
  • NPI 1548735145
  NPD (past)

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

• Phelps Memorial Hospital Association

  dba Phelps Hospital

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267
  Care Compare affiliation

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1679834790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105677214",
            "telephone_number": "800-633-8446",
            "fax_number": "888-502-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105677214",
            "telephone_number": "800-633-8446",
            "fax_number": "888-502-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSHALL",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10468000",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD459926",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "295407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Gianatiempo, MSW
• Janis Gildin, CPM
• Jeanine Carol Giordano
• Barry J. Glaser, D.M.D.
• Tracy Lieber Glaser, MA/CCC-SLP
• Samantha Goldberg
• Warren Goldfarb, PHD., CASAC
• Matthew Golkar, MD
• Diana Maria Gonzales-Ricard, LCSW
• Shanelle Gonzales

• Surgery Physician in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.