Dr. Irma G Godoy
Foot Surgery
612 Alps Rd
Wayne
, New Jersey 07470-3904
Dr. Irma G Godoy
Foot Surgery
612 Alps Rd
Wayne
, New Jersey 07470-3904
(973) 832-4062
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Irma G Godoy
- 612 Alps Rd
- Wayne, NJ
- Zip : 07470-3904
- Fax : (973) 832-4062
- Phone : (973) 832-4061
Second Address
- Dr. Irma G Godoy
- 612 Alps Rd
- Wayne, NJ
- Zip : 07470-3904
- Fax : (973) 832-4062
- Phone : (973) 832-4061
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 25MD00295200 | NJ |
National Provider Identifier
| NPI | 1265605703 |
|---|---|
| Provider Name | Dr. Irma G Godoy |
| First Address | Wayne, NJ 07470-3904 |
| Second Address | Wayne, NJ 07470-3904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2008 |
| Last Update Date | 08/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 136309CX9 | GROUP MEMBER PTAN (01) | NJ |
| 136309CX9 | MEDICARE PTAN (01) | NJ |
| 136309ZBJF | GROUP MEMBER PTAN (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.