Audrey Blaine Godnick

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

59 Colony LN
Roslyn Heights, NY 11577-2218

Phone

(516) 578-3796

Fax

(516) 621-1259

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Child Services Inc Ny

  • Case Management Agency
  • Roslyn Heights, NY
  • NPI 1255701892
  NPD (past)

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1881234276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COLONY LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772218",
            "telephone_number": "516-578-3796",
            "fax_number": "516-621-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLONY LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772218",
            "telephone_number": "516-578-3796",
            "fax_number": "516-621-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODNICK",
        "first_name": "AUDREY",
        "middle_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "324716526",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "324716526",
            "affiliation": "N",
            "endpointDescription": "Driver's License",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Identification",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Drivers License ID",
            "address_1": "59 Colony Ln",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115772218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Gianoukakis, M.D.
• Keren Gilbert, MS., RD.
• Lisa Gilman, MSW
• Glow Medispa (Glow Aesthetica and Surgery)
• Go Physical Therapy and Wellness PC
• Gold Coast Pathology & Laboratory Services, Inc.
• Ann Goldberg, OTR, CHT
• Douglas Alan Goldberg, M.D.
• Jill Goldberg, MA SLP
• Stanley Curt Goldklang, PH.D.

• Case Manager/Care Coordinator in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.