Active NPI
Guy D Watts, MD
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1285064394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- P87619
- Practice address
- 310 E 14TH St
Room 901
New York, NY 10003-4201 - Phone
- (917) 306-9912
- NPI assigned
- Nov 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | P87619 | NY | Primary |
Addresses
Primary practice location
310 E 14TH St
Room 901
New York, NY 10003-4201
Mailing address
Unit 1, 14 Collingwood Avenue
Hazelwood Park
Adelaide, SOUTH AUSTRALIA 5066
AU
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P87619 | NY | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1285064394",
"addresses": [
{
"country_code": "AU",
"country_name": "Australia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "UNIT 1, 14 COLLINGWOOD AVENUE",
"address_2": "HAZELWOOD PARK",
"city": "ADELAIDE",
"state": "SOUTH AUSTRALIA",
"postal_code": "5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 14TH ST",
"address_2": "ROOM 901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034201",
"telephone_number": "917-306-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "GUY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "P87619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.