Active NPI
Julius Gutman, MD FACC
- Cardiovascular Disease Physician
- Montclair, NJ
National Provider Identifier
1174525976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 51072
- Practice address
- 62 S Fullerton Ave
Montclair, NJ 07042-2629 - Phone
- (973) 746-8585
- Fax
- (973) 746-0088
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51072 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 51072 | NJ | Primary |
Addresses
Primary practice location
62 S Fullerton Ave
Montclair, NJ 07042-2629
Mailing address
62 S Fullerton Ave
Montclair, NJ 07042-2629
Phone (973) 746-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551575 | Other | NJ | MEDICARE ID TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51072 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex Heart Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Montclair, NJ
- NPI 1205972759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1174525976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422629",
"telephone_number": "973-746-8585",
"fax_number": "973-746-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422629",
"telephone_number": "973-746-8585",
"fax_number": "973-746-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "JULIUS",
"credential": "MD FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "51072",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "51072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "551575",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.