Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY GODFREY, PA
Active Sole ProprietorMR. TIMOTHY GODFREY, PA is a Surgical Physician Assistant healthcare provider located in WAYNE, New Jersey. NPI 1689108987 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WAYNE, NJ
Registration Details
- NPI Number
- 1689108987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2017 (9.3441999096024 yrs)
- Last Updated
- May 19, 2020
- License
-
25MP00560000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
76 WILLOWBROOK BLVDWAYNE, NJ, 074707002Browse NJ providers · Browse ZIP 07470
- Phone
- 8622467938
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WAYNE, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELE LYNNE LOHMAN | PA-C | 1366658478 |
| MRS. DANA GABRIELLE GARCIA | PA-C | 1275723231 |
| MR. PETER S LIU | P.A. | 1952540072 |
| MR. ROBERT P JANUSZ | PA | 1790928273 |
| EKATERINA M REZVIN | PA-C | 1568943058 |
| MS. ALAA BARBOUR | PA-C | 1366195687 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.