Individual provider Active NPI

Ciril J Godec, M.D.

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1912901679
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
154270-1 Issued in NY
Practice address
339 Hicks St
FL 7
Brooklyn, NY 11201-5509
Phone
(718) 780-1520
Fax
(718) 780-4703
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 154270-1 NY Primary

Addresses

Primary practice location

339 Hicks St
FL 7
Brooklyn, NY 11201-5509

Mailing address

339 Hicks St
Brooklyn, NY 11201-5509
Phone (516) 569-0696

Other identifiers 1

IdentifierTypeStateIssuer
00789937MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000461 NY Practitioner - Urology 3274423249 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
154270-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Sep 1, 2014 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Dec 18, 2002 Accepting new patients
Cobble Hill Health Center Inc CurrentSince Feb 9, 2022 Accepting new patients
Maimonides Urology FPP Urology CurrentSince Aug 15, 2013 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Long Island College Hospital Urology Associates at Lich Urology Past Accepting new patients
Suny Health Science Center at Brooklyn Urology Past Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

380 Henry St
Brooklyn, NY 11201
Phone (718) 237-1717

Interoperability endpoints

  • Direct secure messaging: cirilgodec@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Metropolitan Commercial BankBrooklyn, NY, CCN 335174 Skilled nursing facility Corporate Director
Managing Control - Governing Body
Trustee of the SNF
Jan 1, 1980
Jan 1, 1980
Jan 1, 1980
Your Choice at Home Inc.Brooklyn, NY, CCN 337451 Home health agency Corporate Director (8.33%) Jul 8, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1912901679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "516-569-0696",
            "fax_number": "516-569-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1520",
            "fax_number": "718-780-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEC",
        "first_name": "CIRIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "154270-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00789937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.