Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle J Godfrey, MD

Individual provider Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1104268994

Dr. Kyle J Godfrey, MD is an Ophthalmology in New York, New York. Graduated from Georgetown University School of Medicine in 2013, 13 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
13
Trained at
Georgetown University School of Medicine
Licensed in
CA, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1305 York Ave Fl 12
New York, NY 10021-5663
Phone: (646) 962-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36 Worth St, New York, NY 10013-2903 — (646) 962-2020

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 287321 (NY)
Ophthalmic Plastic and Reconstructive Surgery Physician Taxonomy 207WX0200X · Licence A132536 (CA)

Record details

NPI number1104268994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York