MERLENE GODFREY


Address: 374 Stockholm St, Brooklyn, NY 11237-4006
Phone: 7184864221

MERLENE GODFREY (NPI# 1588774434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588774434
Entity Type Individual
Full Name MERLENE GODFREY
Credential GNP
Practice Address 374 Stockholm St
Brooklyn
NY 11237-4006
Mailing Address 385 Seneca Ave
Redwood
NY 11385
Practice Telephone 7184864221
Practice Fax Number 7185084632
Mailing Telephone 7187491216
Mailing Fax Number 7184533634
Enumeration Date 2006-08-30
Last Update Date 2014-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
F340141 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02367375 05

Office Location

Street Address 374 STOCKHOLM ST
City BROOKLYN
State NY
Zip Code 11237-4006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700886322 Wyckoff Heights Medical Center General Acute Care Hospital 374 Stockholm St, Brooklyn, NY 11237-4006 2005-07-26
1285233189 Camille I Del Pilar Rodriguez General Practice 374 Stockholm St, Brooklyn, NY 11237-4006 2020-10-21
1972110096 Wyckoff Heights Medical Center Laboratory Services Clinical Medical Laboratory 374 Stockholm St, Brooklyn, NY 11237-4006 2020-09-24
1134734130 Andre Cosmo Ruela General Practice 374 Stockholm St, Brooklyn, NY 11237-4006 2020-09-15
1134732233 Fehintola Orisamolu Nurse Practitioner 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-28
1548871189 Leonidha Duka Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-16
1083225890 Luis Carlos Moron Mercado General Practice 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-14
1891305207 Oyinem Odumah Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-01
1609491646 Bilyana Ristic Dietitian, Registered 374 Stockholm St, Brooklyn, NY 11237-4006 2020-06-16
1881219061 Victoria Lewis Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194379644 Giovanna Fiorella Ramirez Barbieri Obstetrics & Gynecology 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 2019-08-01
1013575554 Miseon Kang Counselor Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 2019-05-30
1023598943 Kathryn Falk Speech-Language Pathologist Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 2018-08-20
1437648870 Dawn Tya Chapin Student in an Organized Health Care Education/Training Program Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 2018-05-01
1518410471 Cameron Hetzler Dentist 374 Stockholm St., Brooklyn, NY 11237 2016-07-27
1215399043 Rose R Capuz Skilled Nursing Facility 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 2016-03-22
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1245615442 Estefany Sanchez Mendez Pediatrics 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 2015-07-29
1033507231 Macarena Rufin Counselor 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 2014-12-23
1740691021 Wyckoff Anesthesia and Medical Services, PC Clinic/Center 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 2014-05-08
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396297354 Ann-marie Campbell Nurse Practitioner 1292 E 93rd St, Brooklyn, NY 11236-4321 2016-10-25
1043684673 Ying-yu Chao Nurse Practitioner 837 58th Street, 3rd Floor, Brooklyn, NY 11220 2015-11-19
1083020325 Keithroy Francis Nurse Practitioner 1391 Schenectady Ave, Brooklyn, NY 11203-6531 2014-07-08
1396918025 Kelynne J Edmond Nurse Practitioner 596 Prospect Pl, 2nd Floor, Brooklyn, NY 11238-4205 2008-04-02
1497829782 Hyeran Kim Nurse Practitioner 100 North Portland Ave, Brooklyn, NY 11205-5317 2006-11-20
1659358349 Patrick Luib Nurse Practitioner 784 Rugby Rd, Brooklyn, NY 11230-2410 2005-12-23
1730736729 Marialena Coffey Nurse Practitioner 902 Quentin Rd, Brooklyn, NY 11223-2214 2019-08-23
1699217554 Joy Remona Reece Nurse Practitioner 1000 Church Ave, Brooklyn, NY 11218 2016-11-09
1750832127 Fiona Gill Nurse Practitioner 451 Clarkson Ave, Brooklyn, NY 11203-2054 2016-10-20
1497125371 Hao Yun Taur Nurse Practitioner 447 Atlantic Ave, Brooklyn, NY 11217-1702 2015-10-05
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Competitor

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City BROOKLYN
Zip Code 11237

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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