Nilsa S Gutierrez MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NILSA S GUTIERREZ MD PLLC

Practice address

1045 Glen Cove Ave
Roslyn, NY 11576-1206

Phone

(201) 679-2993

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nilsa Socorro Gutierrez, MDNPI 1922265446

Title

Managing Member

Phone

(201) 679-2993

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nilsa Socorro Gutierrez, M.D.

  • Internal Medicine Physician
  • Roslyn, NY
  • NPI 1922265446
  Authorized official Same address or phone

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1225654486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PENN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661611",
            "telephone_number": "201-679-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GLEN COVE AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761206",
            "telephone_number": "201-679-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILSA S GUTIERREZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "SOCORRO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-679-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Cardiology Group, P.C.
• New York Cardiovascular Anesthesiologists, P.C.
• Jessica Newburger, D.O
• Ira Newman, DDS
• Jeremy Saul Nikfarjam, M.D.
• Lee Nissensohn, DDS
• April Noreiga
• North Nassau Physical Therapy and Rehabilitation ,PC
• North Shore Family Dental Care PLLC (Toothdocs)
• Rebecca Nourmand, OTR/L

• Internal Medicine Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.