Individual provider Active NPI

Maria R. Guerrero, M.D.

  • Body Imaging Physician
  • Brooklyn, NY
National Provider Identifier
1164744132
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
193501 Issued in NY
Practice address
2560 Ocean Ave
Brooklyn, NY 11229-4507
Phone
(718) 615-4100
Fax
(718) 615-9335
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 193501 NY Primary

Addresses

Primary practice location

2560 Ocean Ave
Brooklyn, NY 11229-4507

Mailing address

160 Mimosa Dr
Roslyn, NY 11576-2235
Phone (516) 621-1852

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007220 NY Practitioner - Diagnostic Radiology 6406161512 Reassigns benefits to 1 organization
Practice locations: Roslyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mediflex Corp CurrentSince May 1, 2025 Accepting new patients
NS Sono Inc CurrentSince Jun 1, 2025 Accepting new patients
Omari Chubinidze Medical PC CurrentSince Jan 1, 2026 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Past Accepting new patients
Grover Med LLC PastSince Jun 21, 2020 Accepting new patients

Locations

1701 Avenue P
Ste E
Brooklyn, NY 11229
Phone (718) 419-1890

100 Newbridge Rd
Ste 6
Hicksville, NY 11801
Phone (516) 882-7473

7415 37th Ave
Jackson Hts, NY 11372
Phone (718) 276-4482

Organizations & group practices 6

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1164744132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MIMOSA DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762235",
            "telephone_number": "516-621-1852",
            "fax_number": "877-651-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294507",
            "telephone_number": "718-615-4100",
            "fax_number": "718-615-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARIA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "193501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.