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

Mr. Timothy Godfrey, PA

Individual provider Surgical Physician Assistant · NPI 1689108987

Mr. Timothy Godfrey, PA is a Surgical Physician Assistant in Wayne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

76 Willowbrook Blvd
Wayne, NJ 07470-7002
Phone: (862) 246-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00560000 (NJ)

Record details

NPI number1689108987
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

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