Individual provider Active NPI

Guerry Faustin, M.D.

  • General Practice Physician
  • Delray Beach, FL
National Provider Identifier
1114359700
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN669 Issued in FL
Practice address
600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458
Phone
(561) 266-3487
Fax
(561) 266-3447
NPI assigned
Aug 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN669 FL Primary

Addresses

Primary practice location

600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458

Mailing address

600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458
Phone (561) 266-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140725001405 PR Practitioner - General Practice 2163648254 Practice locations: Catano, PR; Toa Baja, PR; Canovanas, PR
I20180424002871 FL Practitioner - General Practice 2163648254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 N Congress Ave
Suite 420
Delray Beach, FL 33445-3458
Phone (561) 266-3487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN669FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Patient Imaging, Inc Current Accepting new patients
First Patient Dental Care Current Accepting new patients
First Patient Eye Care Current Accepting new patients
First Patient Care Clinic,Inc CurrentSince Jun 29, 2020 Accepting new patients
First Patient Care Clinic @ Riviera Past Accepting new patients
First Patient Care Clinic @ Davie PastSince Dec 15, 2024 Accepting new patients

Locations

600 N Congress Ave
Ste 420
Delray Beach, FL 33445
Phone (561) 266-3487

Interoperability endpoints

  • Direct secure messaging: guerry.faustin@451.emedpractice.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1114359700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 420",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453458",
            "telephone_number": "561-266-3487",
            "fax_number": "561-266-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 420",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453458",
            "telephone_number": "561-266-3487",
            "fax_number": "561-266-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTIN",
        "first_name": "GUERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.