Virginia Deguzman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA041083 Issued in NJ

Practice address

608 Wyckoff Ave
Deguzman & Deguzman
Mahwah, NJ 07430-3035

Phone

(201) 891-3080

Fax

(201) 847-0995

NPI assigned

Apr 3, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Female

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia de Guzman MD Limited Liability Company

  • Family Medicine Physician
  • Mahwah, NJ
  • NPI 1013103183
  Authorized official Same address or phone

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1144282450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WYCKOFF AVE",
            "address_2": "DEGUZMAN & DEGUZMAN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303035",
            "telephone_number": "201-891-3080",
            "fax_number": "201-847-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WYCKOFF AVE",
            "address_2": "DEGUZMAN & DEGUZMAN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303035",
            "telephone_number": "201-891-3080",
            "fax_number": "201-847-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA041083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3702600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Beth Curtin, OTR/L
• Mark Lewis Danbe, DMD
• Dancing Dietitian LLC
• Melissa Dawson
• De Guzman & de Guzman Medical Ass PA
• Justin Delgado
• Carolyn Demaria, MD
• Jaimini Desai
• Kathleen Cornella Devine, R.D.
• Jennifer Ranee Dewilde, DC

• Family Medicine Physician in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.