Pedro M Gutierrez

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04127900 Issued in NJ

Practice address

464 North Ave
Elizabeth, NJ 07208-1738

Phone

(908) 351-0790

Fax

(908) 355-5966

NPI assigned

Nov 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pedro M Gutierrez

  • Surgery Physician
  • Elizabeth, NJ
  • NPI 1164696555
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1093880239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NORTH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072071738",
            "telephone_number": "908-351-0790",
            "fax_number": "908-355-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NORTH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081738",
            "telephone_number": "908-351-0790",
            "fax_number": "908-355-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PEDRO",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04127900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6507403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danilo Magallanes Guinto, M.D.
• Wilson Desquitado Guinto, MD
• Xutong Guo, MD
• Brad Gurney, D.O.
• Vaishnavi Gurumurthy
• Victoria Lynn Guzman, MD
• Bassma Habib
• Joseph Haddad
• Allison Haders, MD
• Nosha Hadi Nahavandi

• Surgery Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.