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

Laiz Laura De Godoy, MD

Individual provider Diagnostic Radiology Physician · NPI 1265123285

Laiz Laura De Godoy, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Clinical Health Care Associates of New Jersey PC, a 789-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
14
Licensed in
NJ, PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4206
Phone: (215) 662-3000
Fax: (215) 662-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4701 Pine St Apt K10, Philadelphia, PA 19143-1880 — (267) 275-2085

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD489789 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA12625400 (NJ)

Record details

NPI number1265123285
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 19, 2023
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clinical Health Care Associates Of New Jersey Pc — 789 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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