NPIMap

Organization Active NPI

Pedro M Gutierrez

  • Surgery Physician
  • Elizabeth, NJ
National Provider Identifier
1164696555
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PEDRO M GUTIERREZ
Practice address
464 North Ave
Elizabeth, NJ 07208-1738
Phone
(908) 351-0790
Fax
(908) 355-5966
NPI assigned
Apr 16, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Pedro M GutierrezNPI 1093880239
Title
Owner
Phone
(908) 351-0790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NJ Primary

Addresses

Primary practice location

464 North Ave
Elizabeth, NJ 07208-1738

Mailing address

464 North Ave
Elizabeth, NJ 07208-1738
Phone (908) 351-0790

National Provider Directory

National Provider Directory

Locations

464 North Ave
Elizabeth, NJ 07208
Phone (908) 351-0790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1164696555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NORTH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081738",
            "telephone_number": "908-351-0790",
            "fax_number": "908-355-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NORTH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081738",
            "telephone_number": "908-351-0790",
            "fax_number": "908-355-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO M GUTIERREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-351-0790"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.