DR. MARK GODFREY M.D. NPI 1235576554

NPI Information

NPI: 1235576554
Provider Name: DR. MARK GODFREY, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
789 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 785-4198
Get Directions

DR. Mark Godfrey, M.D. is a pulmonary disease internal medicine in New Haven, CT with 11 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Mark Godfrey, M.D. NPI is 1235576554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

789 HOWARD AVE
NEW HAVEN, CT
ZIP 06519-304
Phone: (203) 785-4198

The NPI 1235576554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		LP02748	RHODE ISLAND	No
2	207R00000X	Internal Medicine		MD15361	RHODE ISLAND	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	65880	CONNECTICUT	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	65880	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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