Individual provider Active NPI

Jihan Guerrero

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1275807190
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336643 Issued in NY
Practice address
1 Penn PLZ FL 8
New York, NY 10119-0899
Phone
(347) 491-0986
NPI assigned
Feb 24, 2012
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336643 NY Primary

Addresses

Primary practice location

1 Penn PLZ FL 8
New York, NY 10119-0899

Mailing address

1 Penn PLZ FL 8
New York, NY 10119-0899
Phone (347) 491-0986

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000853 NY Practitioner - Nurse Practitioner 9739405820 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Westchester Medical PCGroup PAC ID 7315354784, 2 clinicians

Practice addresses (Care Compare)

120 Odell Ave
Yonkers, NY 10701-1408
Phone (914) 376-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F336643NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky View Rehabilitation Health Care CurrentSince Mar 8, 2021 Accepting new patients
Dial Doc Now Medical Group PC CurrentSince Dec 15, 2021 Accepting new patients
Westchester Family Medical Practice PC CurrentSince Apr 1, 2023 Accepting new patients
Statline Medical PC CurrentSince Feb 1, 2022 Accepting new patients
SJR Medical, PC Family Past Accepting new patients

Locations

237 W 233rd St
Ofc 1
Bronx, NY 10463
Phone (718) 884-7100

1280 Albany Post Rd
Croton on Hudson, NY 10520
Phone (914) 271-5151

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

120 Odell Ave
Yonkers, NY 10701
Phone (212) 739-1799

472 Palmer Rd
Yonkers, NY 10701
Phone (914) 375-2300

970 N Broadway
Ste 212
Yonkers, NY 10701
Phone (914) 376-1543

970 N Broadway
Ste 308B
Yonkers, NY 10701
Phone (914) 423-8000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1275807190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190899",
            "telephone_number": "347-491-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190899",
            "telephone_number": "347-491-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JIHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.