Active NPI
Dalfry Javier Gutierrez, PT, DPT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052734
- Practice address
- 51 Audubon Ave FL 1
New York, NY 10032-2248 - Phone
- (212) 304-5794
- NPI assigned
- Aug 12, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 052734 | NY | Primary |
Addresses
Primary practice location
51 Audubon Ave FL 1
New York, NY 10032-2248
Mailing address
570 W 189TH St Apt 1D
New York, NY 10040-4322
Phone (347) 805-7170
Other practice location 1
3202 Bainbridge Ave Apt D
Bronx, NY 10467-3947
Phone (347) 805-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
3202 Bainbridge Ave
Apt D
Bronx, NY 10467-3947
Phone (718) 881-9525
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052734 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
3202 Bainbridge Ave
Apt D
Bronx, NY 10467
Phone (718) 881-9507
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
51 Audubon Ave
Fl 1
New York, NY 10032
Phone (212) 304-5794
180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Specialist
- New York, NY
- NPI 1801074315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1093546137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 W 189TH ST APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404322",
"telephone_number": "347-805-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 AUDUBON AVE FL 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322248",
"telephone_number": "212-304-5794"
}
],
"practiceLocations": [
{
"address_1": "3202 Bainbridge Ave Apt D",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104673947",
"country_code": "US",
"telephone_number": "347-805-7170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "DALFRY",
"middle_name": "JAVIER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052734",
"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 Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.