Active NPI
Joy Guevarra, N.P.
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1043457112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304986
- Practice address
- 525 East 68 Street
New York, NY 10021 - Phone
- (212) 746-0320
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304986 | NY | Primary |
Addresses
Primary practice location
525 East 68 Street
New York, NY 10021
Mailing address
568 Beech St
Haworth, NJ 07641-1533
Phone (646) 220-9694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304986 | NY | MD | Pediatrics Physician |
Interoperability endpoints
- joj9007@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231718400000",
"number": "1043457112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 BEECH ST",
"city": "HAWORTH",
"state": "NJ",
"postal_code": "076411533",
"telephone_number": "646-220-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 EAST 68 STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-746-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARRA",
"first_name": "JOY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.