Nexus at Godfrey, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NEXUS AT GODFREY, LLC

Practice address

1623 W Delmar Ave
Godfrey, IL 62035-1317

Phone

(618) 446-0443

NPI assigned

Jul 21, 2025

Organization subpart

No

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

Authorized official

Name

Marvin Rubin

Title

Manager

Phone

(847) 933-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1932091121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 W DELMAR AVE",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351317",
            "telephone_number": "618-446-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS AT GODFREY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-933-9200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusuf Ata Mohyuddin, M.D., M.P.H.
• Stephanie M Monroe, D.C.
• Edward Stanley Nemec, M.D.
• New Path Wellness LLC
• Lawrence E Newquist, DMD
• Allison C Nicklow, PHARMD
• Benedicta I Odemerho, FNP
• Optimal Health Medicine LLC
• Osf Healthcare System
• Mary Elizabeth Pagano, FNP-C

• All providers in Godfrey, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.