Provider Demographics
NPI:1891785945
Name:PINDER, GODFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:GODFREY
Middle Name:
Last Name:PINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 OLD INDIAN RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2603
Mailing Address - Country:US
Mailing Address - Phone:973-731-7441
Mailing Address - Fax:973-731-8381
Practice Address - Street 1:15 KIEL AVE
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2565
Practice Address - Country:US
Practice Address - Phone:973-731-7441
Practice Address - Fax:973-731-8381
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03268300208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1543648OtherUNITED HEALTHCARE
NJ2899701Medicaid
NJP00681576OtherRAILROAD MEDICARE
NJ01000051800OtherAMERICHOICE
NJ0K2003OtherHEALTH NET
NJDO0974OtherOXFORD
NJ3849007Medicaid
NJ0529470OtherAETNA
NJ466196MOtherCIGNA
NJP00681576OtherRAILROAD MEDICARE
NJ2899701Medicaid