Individual provider Active NPI

Guozi Weng

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1124790605
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310472 Issued in NY
Practice address
77 Bowery FL 3
New York, NY 10002-4955
Phone
(212) 966-8216
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310472 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406868 NY

Addresses

Primary practice location

77 Bowery FL 3
New York, NY 10002-4955

Mailing address

77 Bowery
New York, NY 10002-4940

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329000955 NY Practitioner - Nurse Practitioner 9739575820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Season Medical PLLCGroup PAC ID 1850666819, 6 clinicians

Practice addresses (Care Compare)

7112 Bay Pkwy
Brooklyn, NY 11204-6016
Phone (718) 680-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Four Season Medical PLLC Adult Health CurrentSince Dec 21, 2021 Accepting new patients
Well Wellness Medical PLLC Past Accepting new patients

Locations

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

837 59th St
Fl 5
Brooklyn, NY 11220
Phone (646) 532-7746

13620 38th Ave
Ste 7J
Flushing, NY 11354
Phone (347) 506-0765

464 Nome Ave
Staten Island, NY 10314
Phone (347) 464-3150

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124790605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BOWERY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024955",
            "telephone_number": "212-966-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENG",
        "first_name": "GUOZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310472",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.