Shane Goda
Pediatrics | Male
Shane Goda is a Brooklyn, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shane Goda is
325 Court St, Brooklyn, New York - 11231-4335. He can be contacted on phone at
212-226-7666.
Shane Goda is a sole proprietor of his business.
NPI number (Unique professional ID) for Shane Goda is
1225532260 which was assigned by NPPES on 23 Mar, 2018 and it was last updated on 29 Jul, 2022.
Shane Goda license number is
311703 for Pediatrics (208000000X) in New York.
Shane Goda is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shane Goda basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shane Goda |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Shane Goda address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 325 Court St
Brooklyn, NY, 11231-4335
United States |
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| Phone Number : | 212-226-7666 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225532260 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2018 |
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| Last Updated On : | 29 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Goda are as mentioned. Primary taxonomy code for Shane Goda is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 311703 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Shane Goda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 06800128 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 Court St
Brooklyn, NY, 11231-4335
United States |
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| Phone Number : | 973-380-7115 |
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Business Location:
Patients can refer following map for directions to
Shane Goda practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.