Active NPI
Ciril J Godec, M.D.
- Urology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 154270-1
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00789937 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 154270-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Cobble Hill Health Center Inc | Current | Accepting new patients | |
| Maimonides Urology FPP | Urology | Current | 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. | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Metropolitan Commercial Bank | 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. | 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.
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1821049164
Corporate Director, Managing Control - Governing Body, Trustee of the SNF
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1619056314
-
- Urology Physician
- Brooklyn, NY
- NPI 1144276627
Urology
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.