NPIMap

Individual provider Active NPI

Jesuel Padro-Guzman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1003005372
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
266227 Issued in NY
Practice address
525 E 68TH St # F-16
Box 142
New York, NY 10065-4870
Phone
(212) 746-1500
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 266227 NY Primary

Addresses

Primary practice location

525 E 68TH St # F-16
Box 142
New York, NY 10065-4870

Mailing address

525 E 68TH St
Box 142
New York, NY 10065-4870
Phone (212) 746-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130719000055 NY Practitioner - Physical Medicine and Rehabilitation 4082803564 Reassigns benefits to 2 organizations
I20180212000902 NJ Practitioner - Physical Medicine and Rehabilitation 4082803564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Neurology GroupGroup PAC ID 4688563000, 96 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
73.64
Improvement activities
40
Cost
66.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
266227NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Physical Medicine & Rehabilitation CurrentSince Jul 1, 2003 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
MSK Monmouth CurrentSince Oct 7, 2017 Accepting new patients
Memorial Neurology Group CurrentSince Jul 1, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2003 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Past Accepting new patients

Locations

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

525 E 68th St
#F16
New York, NY 10065
Phone (212) 746-1500

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

G Po 5032
New York, NY 10087

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

525 E 68th St
#142
New York, NY 10065
Phone (212) 746-1500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jpadroguzman40024@mskcc.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a873c085-bb43-46f8-8d4e-db05392761e1/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1003005372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 142",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # F-16",
            "address_2": "BOX 142",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRO-GUZMAN",
        "first_name": "JESUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "266227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.