Igor Gutnik, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

224819 Issued in NY

Practice address

49 Oakcrest Ave
Middle Island, NY 11953-1415

Phone

(516) 578-1489

Fax

(908) 450-0280

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
• Momentum at South Bay for Rehabilation and Nursing Nursing home, East Islip, NY, CCN 335401
• Surge Rehabilitation and Nursing LLC Nursing home, Middle Island, NY, CCN 335390
• Quantum Rehabilitation and Nursing LLC Nursing home, Middle Island, NY, CCN 335719

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Digestive Disease Medical Care of Ny,P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1518172311
  NPD (past)
• Medical Network Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871507731
  NPD (past)
• Quantum Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Middle Island, NY
  • NPI 1215473053
  NPD (past)
• Suffolk Restorative Therapy & Nursing, LLC

  • Skilled Nursing Facility
  • East Islip, NY
  • NPI 1508167230
  NPD (past)
• Surge Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Middle Island, NY
  • NPI 1205372042
  NPD (past)
• On-Site Psychological Services PC

  • Clinical Psychologist
  • Ridgefield, CT
  • NPI 1992807887
  NPD (past)

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

• Extended Nursing Personnel Chha, LLC

  dba Extended Home Care

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  Care Compare affiliation
• Quantum Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Middle Island, NY
  • NPI 1215473053

  Nursing home

  Care Compare affiliation
• Suffolk Restorative Therapy & Nursing, LLC

  • Skilled Nursing Facility
  • East Islip, NY
  • NPI 1508167230

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1073684726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 VALERIE CT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664654",
            "telephone_number": "516-578-1489",
            "fax_number": "516-992-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "516-578-1489",
            "fax_number": "908-450-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTNIK",
        "first_name": "IGOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02315108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Grzymala
• Kristen Gualbert, MS, OTR/L
• Marissa Guale
• Michele Guale, L.P.N.
• Kathryn M Gutleber, PT, DPT
• Laura Habbershaw, RN
• Drew Hahn
• Sarah Hahn, B.S
• Stefanie Valerie Halioris
• Cheryl Marie Hamilton, BSN, RN.

• Internal Medicine Physician in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.