Active NPI
Godfrey Pinder, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kinnelon, NJ
National Provider Identifier
1891785945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA03268300
- Practice address
- 15 Kiel Ave
Kinnelon, NJ 07405-2565 - Phone
- (973) 731-7441
- Fax
- (973) 731-8381
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MA03268300 | NJ | Primary |
Addresses
Primary practice location
15 Kiel Ave
Kinnelon, NJ 07405-2565
Mailing address
99 Old Indian Rd
West Orange, NJ 07052-2603
Phone (973) 731-7441
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1543648 | Other | NJ | UNITED HEALTHCARE |
| 2899701 | Medicaid | NJ | |
| P00681576 | Other | NJ | RAILROAD MEDICARE |
| 01000051800 | Other | NJ | AMERICHOICE |
| 0K2003 | Other | NJ | HEALTH NET |
| DO0974 | Other | NJ | OXFORD |
| 3849007 | Medicaid | NJ | |
| 0529470 | Other | NJ | AETNA |
| 466196M | Other | NJ | CIGNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gpinder191399@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1891785945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 OLD INDIAN RD",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522603",
"telephone_number": "973-731-7441",
"fax_number": "973-731-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 KIEL AVE",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052565",
"telephone_number": "973-731-7441",
"fax_number": "973-731-8381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINDER",
"first_name": "GODFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "25MA03268300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1543648",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2899701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00681576",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000051800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0K2003",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DO0974",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3849007",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0529470",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "466196M",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.