Sholom Gutleizer

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

36193 Issued in NY

Practice address

1117 Eastern Pkwy
Brooklyn, NY 11213-4801

Phone

(917) 671-8557

NPI assigned

Jul 28, 2021

Reactivated

Aug 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1174296834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LEFFERTS AVE APT A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031220",
            "telephone_number": "917-671-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134801",
            "telephone_number": "917-671-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTLEIZER",
        "first_name": "SHOLOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "deactivation_date": "2021-07-28",
        "reactivation_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "36193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sholom.gutleizer@gmail.com",
            "affiliation": "N",
            "address_1": "1117 Eastern Pkwy",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112134801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alla Gutkin
• Irina Gutkin
• Dafna Gutkind, LCSW
• Paul Gutkowski
• Linda Gutleizer, RPH
• Moshe Joseph Gutman
• Rachel Gutman, M.ED
• Ronald J. Gutman, D.M.D.
• Sofiya Gutman, PHARM-D
• Yelena Gutman, DDS

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.