Active NPI
Rafael Raymund Cuesta Guerrero
- Nurse Practitioner
- Bayville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01478900
- Practice address
- 53 Pelican Drive
Bayville, NJ 08721 - Phone
- (732) 930-4221
- NPI assigned
- May 8, 2023
- Last updated
- Dec 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01478900 | NJ | Primary |
Addresses
Primary practice location
53 Pelican Drive
Bayville, NJ 08721
Mailing address
53 Pelican Drive
Bayville, NJ 08721
Phone (732) 930-4221
Other practice location 1
137 High St Fl 2A
Mount Holly, NJ 08060-1476
Phone (609) 474-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 341-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01478900 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of New Jersey, LLC | Nurse Practitioner | Current | Accepting new patients |
| Botox and Family Associates LLC | Current | Accepting new patients | |
| Clare Medical of New Jersey LLC | Nurse Practitioner | Current | Accepting new patients |
| Ocean Family & Geriatric Associates LLC | Current | Accepting new patients | |
| Vinod Sancheti Mdpa | Current | Accepting new patients |
Locations
137 High St
Fl 2A
Mount Holly, NJ 08060
Phone (609) 474-0120
137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800
20 Hospital Dr
Ste 3
Toms River, NJ 08755
Phone (732) 341-9900
25 Mule Rd
Ste 8
Toms River, NJ 08755
Phone (732) 240-4000
25 Mule Rd
Unit B8
Toms River, NJ 08755
Phone (732) 240-4000
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Toms River, NJ
- NPI 1235614744
-
- Internal Medicine Physician
- Toms River, NJ
- NPI 1740321645
-
- Geriatric Medicine (Family Medicine) Physician
- Mount Holly, NJ
- NPI 1255718276
Nurse Practitioner
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
Nurse Practitioner
-
- Family Medicine Physician
- Toms River, NJ
- NPI 1891820304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1205525045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 PELICAN DRIVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "08721",
"telephone_number": "732-930-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 PELICAN DRIVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "08721",
"telephone_number": "732-930-4221"
}
],
"practiceLocations": [
{
"address_1": "137 High St Fl 2A",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080601476",
"country_code": "US",
"telephone_number": "609-474-0120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRERO",
"first_name": "RAFAEL RAYMUND",
"middle_name": "CUESTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01478900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.