Active NPI
Andrew Heuman-Gutman, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1194426700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 064233
- Practice address
- 945 Lexington Ave
New York, NY 10021-5107 - Phone
- (212) 327-0576
- Fax
- (212) 327-1550
- NPI assigned
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 064233 | NY | Primary |
Addresses
Primary practice location
945 Lexington Ave
New York, NY 10021-5107
Mailing address
945 Lexington Ave
New York, NY 10021-5107
Phone (212) 327-0576
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064233 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1194426700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215107",
"telephone_number": "212-327-0576",
"fax_number": "212-327-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215107",
"telephone_number": "212-327-0576",
"fax_number": "212-327-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUMAN-GUTMAN",
"first_name": "ANDREW",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "064233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.