Individual provider Active NPI

Marc Edward Guzman

  • Medical Physician Assistant
  • Hillsdale, NJ
National Provider Identifier
1306636238
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
034687 Issued in NY
Practice address
PO Box 13
Hillsdale, NJ 07642-0013
Phone
(215) 407-1312
NPI assigned
May 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 034687 NY Primary

Addresses

Primary practice location

PO Box 13
Hillsdale, NJ 07642-0013

Mailing address

PO Box 13
Hillsdale, NJ 07642-0013
Phone (215) 407-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251125002574 NJ Practitioner - Physician Assistant 3577055797 Reassigns benefits to 1 organization
I20260212001951 NY Practitioner - Physician Assistant 3577055797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rutgers New Jersey Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

2 Journal Square PLZ
Suite a
Jersey City, NJ 07306-4001
Phone (551) 325-2333

3680 Hill Blvd
Jefferson Valley, NY 10535-1500
Phone (914) 245-7700

49 W Allendale Ave
Suite 4
Allendale, NJ 07401-1755
Phone (201) 340-6052

587 Cedar Lane
Teaneck, NJ 07666-1701
Phone (201) 387-0177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034687NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Am PM Walk in Urgent Care Clinic Multi-Specialty CurrentSince Oct 11, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2026 Accepting new patients
Optum Medical Care, P.C. Multi-Specialty CurrentSince Apr 1, 2026 Accepting new patients
Am PM Primary Care Multi-Specialty Past Accepting new patients

Locations

19 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-0177

3680 Hill Blvd
Jefferson Valley, NY 10535
Phone (914) 245-7700

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1306636238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420013",
            "telephone_number": "215-407-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420013",
            "telephone_number": "215-407-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARC",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "034687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.