Individual provider Active NPI

Henry Philip Godfrey, M.D.

  • Internal Medicine Physician
  • Valhalla, NY
National Provider Identifier
1982933982
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100544-1 Issued in NY
Practice address
40 Sunshine Cottage Rd
New York Medical College, Dept. of Pathology
Valhalla, NY 10595-1524
Phone
(914) 594-4160
Fax
(914) 594-4163
NPI assigned
Dec 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100544-1 NY Primary

Addresses

Primary practice location

40 Sunshine Cottage Rd
New York Medical College, Dept. of Pathology
Valhalla, NY 10595-1524

Mailing address

40 Sunshine Cottage Rd
New York Medical College, Dept. of Pathology
Valhalla, NY 10595-1524
Phone (914) 594-4160

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100544-1NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1982933982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSHINE COTTAGE RD",
            "address_2": "NEW YORK MEDICAL COLLEGE, DEPT. OF PATHOLOGY",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951524",
            "telephone_number": "914-594-4160",
            "fax_number": "914-594-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNSHINE COTTAGE RD",
            "address_2": "NEW YORK MEDICAL COLLEGE, DEPT. OF PATHOLOGY",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951524",
            "telephone_number": "914-594-4160",
            "fax_number": "914-594-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "HENRY",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "100544-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.