Active NPI
Anna Sheina Gutman, M.D.
- Nephrology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 303751
- Practice address
- 1550 Richmond Ave Ste 205
Staten Island, NY 10314-1578 - Phone
- (718) 982-7800
- Fax
- (718) 982-7722
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 303751 | NY | |
| Nephrology Physician | 207RN0300X | 303751 | NY | Primary |
Addresses
Primary practice location
1550 Richmond Ave Ste 205
Staten Island, NY 10314-1578
Mailing address
97 New Dorp LN Ste a
Staten Island, NY 10306-2364
Phone (718) 876-6220
Other practice location 1
470 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 987-5940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05961591 | 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
- Nephrology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12046 Queens Blvd
Kew Gardens, NY 11415-1204
Phone (718) 793-3341
1550 Richmond Ave
Suite 205
Staten Island, NY 10314-1578
Phone (718) 982-7800
25 Fanning St
Staten Island, NY 10314-5307
Phone (718) 289-7900
355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-2429
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2000
470 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 987-5942
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000
Hospital & facility affiliations
- Staten Island Dialysis Clinic/ Akc
- Island Rehabilitative Services - Clove Lakes Dialysis
- Dialyze Direct Brooklyn, NY
- Staten Island University Hospital
- Richmond University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Pepe MD PLLC | Nephrology | Current | Accepting new patients |
Locations
1550 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-7700
1550 Richmond Ave
Ste 205
Staten Island, NY 10314
Phone (718) 982-7800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- agutman66881@northwell.direct-ci.com
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 and National Provider Directory roles.
-
- Nephrology Physician
- Staten Island, NY
- NPI 1598753253
-
- Nephrology Physician
- Staten Island, NY
- NPI 1972757672
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Staten Island, NY
- NPI 1518990993
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1699165811
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Staten Island, NY
- NPI 1669453502
Dialysis facility
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1285013698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 NEW DORP LN STE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062364",
"telephone_number": "718-876-6220",
"fax_number": "718-876-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 RICHMOND AVE STE 205",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141578",
"telephone_number": "718-982-7800",
"fax_number": "718-982-7722"
}
],
"practiceLocations": [
{
"address_1": "470 Seaview Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103053401",
"country_code": "US",
"telephone_number": "718-987-5940",
"fax_number": "718-667-9708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTMAN",
"first_name": "ANNA",
"middle_name": "SHEINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "303751",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "303751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05961591",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.