Matthew Gutstadt

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

000787000 Issued in FL

Practice address

750 NE 24TH Way
Ft Lauderdale, FL 33304-3569

Phone

(954) 557-0319

NPI assigned

Jan 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1013660240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 24TH WAY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043569",
            "telephone_number": "954-557-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 24TH WAY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043569",
            "telephone_number": "954-557-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSTADT",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "000787000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Christine Gushwa
• Emma Gustave, NP
• Kelly Guthrie, D.M.D.
• Rafael Gutierrez, MD
• Rosemary Gutierrez, MS
• Tracy Guy, PT
• Zullymar Guzman Rivera
• Flor Guzman
• Pablo Guzman, MD
• H & W Williams Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.