Individual provider Active NPI

Jeremy M Gutwein, MD, MS

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1235279738
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
234178 Issued in NY
Practice address
3765 Riverdale Ave
Suite #7
Bronx, NY 10463-1845
Phone
(718) 543-3636
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 234178 NY Primary

Addresses

Primary practice location

3765 Riverdale Ave
Suite #7
Bronx, NY 10463-1845

Mailing address

3765 Riverdale Ave
Suite 7
Bronx, NY 10463-1845
Phone (718) 543-3636

Other identifiers 1

IdentifierTypeStateIssuer
03104056MedicaidNY

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
I20090513000052 NY Practitioner - Gastroenterology 0042369589 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

2155 Wantagh Ave
Wantagh, NY 11793-3915
Phone (516) 785-6800

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234178NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Medical Care PC CurrentSince Sep 1, 2020 Accepting new patients
Isadore P Gutwein MD & Robert a Sable MD PC Gastroenterology CurrentSince Jun 1, 2009 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Jun 1, 2012 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Feb 7, 2024 Accepting new patients

Locations

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

2550 Webb Ave
Bronx, NY 10468
Phone (718) 561-0041

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

4238 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-9532

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203

2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-6500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jeremy.gutwein.1@24721.direct.athenahealth.com
  • Direct secure messaging: jeremy.gutwein@pafm.eclinicaldirectplus.com

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 1

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1235279738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE 7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-543-3636",
            "fax_number": "718-884-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE #7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-543-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTWEIN",
        "first_name": "JEREMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "234178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03104056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.