Long Island Arthritis and Rheumatism Medical PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

251871 Issued in NY

Legal business name

LONG ISLAND ARTHRITIS AND RHEUMATISM MEDICAL PC

Practice address

200 Boundary Ave
Suite 200
Massapequa, NY 11758-1152

Phone

(516) 439-0380

Fax

(631) 271-9155

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Olena Guzhva, M.D.NPI 1174779359

Title

Owner

Phone

(516) 439-0380

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olena Guzhva, MD

  • Rheumatology Physician
  • Syosset, NY
  • NPI 1174779359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1134438823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222202",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110222202",
            "telephone_number": "516-439-0380",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOUNDARY AVE",
            "address_2": "SUITE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581152",
            "telephone_number": "516-439-0380",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ARTHRITIS AND RHEUMATISM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "GUZHVA",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-439-0380",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "251871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "251871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diana Mary Lomnicki Fannin, R.N.
• Long Island Comprehensive Psychiatry PC
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• Long Island Oral Surgeons
• Long Island Orthodontic Associates, P.C.
• Lesly Lopez

• Rheumatology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.