Individual provider Active NPI

Olena Guzhva, MD

  • Rheumatology Physician
  • Syosset, NY
National Provider Identifier
1174779359
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
251871 Issued in NY
Practice address
60 Queens St
Ste 100
Syosset, NY 11791-3058
Phone
(516) 277-8490
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 251871 NY Primary
Rheumatology Physician 207RR0500X MD036791 DC

Addresses

Primary practice location

60 Queens St
Ste 100
Syosset, NY 11791-3058

Mailing address

PO Box 426
Syosset, NY 11791-0426
Phone (516) 864-0040

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
I20101217000595 NY Practitioner - Rheumatology 2163576505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Queens St
Syosset, NY 11791-3058
Phone (516) 439-0380

Hospital & facility affiliations

  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Constellation Home Care Home health agency, Syosset, NY, CCN 337447
  • Good Shepherd Hospice Hospice, Farmingdale, NY, CCN 331544
  • Hospice Care of Long Island, Queens, South Shore Hospice, Woodbury, NY, CCN 331532
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Huntington Hills Center for Health and Rehabilitat Nursing home, Melville, NY, CCN 335818
  • Gurwin Jewish Nursing and Rehabilitation Center Nursing home, Commack, NY, CCN 335696

Merit-based Incentive Payment System (MIPS)

Final score
93.3 of 100Reported as individual
Quality
95.3
Improvement activities
40
Cost
52.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036791DCMDRheumatology Physician
251871NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Arthritis and Rheumatism Medical PC Rheumatology CurrentSince Sep 5, 2010 Accepting new patients
East Northport Residential Health Care Facility, Inc Past Accepting new patients
Wsnchs North, Inc. Past Accepting new patients
The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

5353 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1800

2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904

60 Queens St
Syosset, NY 11791
Phone (516) 439-0380

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1174779359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910426",
            "telephone_number": "516-864-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUEENS ST",
            "address_2": "STE 100",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913058",
            "telephone_number": "516-277-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZHVA",
        "first_name": "OLENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "251871",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DC",
            "license": "MD036791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.