Active NPI
Constantino Valderrama Gulmatico Jr., M.D.
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1225038375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 149265
- Practice address
- 1430 E 29TH St
Brooklyn, NY 11210-5317 - Phone
- (718) 258-4848
- Fax
- (718) 258-4851
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 149265 | NY | Primary |
Addresses
Primary practice location
1430 E 29TH St
Brooklyn, NY 11210-5317
Mailing address
1430 E 29TH St
Brooklyn, NY 11210-5317
Phone (718) 258-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00978890 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3103 Emmons Ave
Brooklyn, NY 11235-1709
Phone (718) 258-4848
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulmatico Medical Associates, PC | Current | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Specialist
- Brooklyn, NY
- NPI 1760590228
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225038375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 E 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105317",
"telephone_number": "718-258-4848",
"fax_number": "718-258-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112105317",
"telephone_number": "718-258-4848",
"fax_number": "718-258-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULMATICO",
"first_name": "CONSTANTINO",
"middle_name": "VALDERRAMA",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "149265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00978890",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.