Individual provider Active NPI

Jesse Camila Guzman Rodriguez, NP

  • Family Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1134032469
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F360924-01 Issued in NY
Practice address
8114 Queens Blvd
Elmhurst, NY 11373-3789
Phone
(949) 424-3337
Fax
(929) 424-3347
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F360924-01 NY Primary

Addresses

Primary practice location

8114 Queens Blvd
Elmhurst, NY 11373-3789

Mailing address

7510 Yellowstone Blvd Apt 5H
Rego Park, NY 11374-5308
Phone (786) 461-8549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1134032469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 YELLOWSTONE BLVD APT 5H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745308",
            "telephone_number": "786-461-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733789",
            "telephone_number": "949-424-3337",
            "fax_number": "929-424-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN RODRIGUEZ",
        "first_name": "JESSE",
        "middle_name": "CAMILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F360924-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.