Individual provider Active NPI

Guy Anthony Francis, MD

  • Family Medicine Physician
  • Maplewood, NJ
National Provider Identifier
1376554378
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA069818 Issued in NJ
Practice address
2130 Millburn Ave
Ste C5
Maplewood, NJ 07040-3747
Phone
(973) 763-2555
Fax
(973) 763-2558
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA069818 NJ Primary

Addresses

Primary practice location

2130 Millburn Ave
Ste C5
Maplewood, NJ 07040-3747

Mailing address

2130 Millburn Ave
Ste C5
Maplewood, NJ 07040-3747
Phone (973) 763-2555

Other identifiers 1

IdentifierTypeStateIssuer
8308004MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20061107000416 NJ Practitioner - Family Practice 2769489640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2130 Millburn Ave
Maplewood, NJ 07040-3747
Phone (973) 763-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069818NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guy a. Francis, MD,L.L.C. Family Medicine CurrentSince Sep 5, 2006 Accepting new patients
University Physician Associates of New Jersey Inc Family Medicine Past Accepting new patients
Star Podiatry PC Past Accepting new patients
Kidney Care PA PastSince Sep 5, 2006 Accepting new patients

Locations

2130 Millburn Ave
Ste C5
Maplewood, NJ 07040
Phone (973) 763-2555

2130 Millburn Ave
Ste C3
Maplewood, NJ 07040
Phone (973) 763-2555

90 Millburn Ave
Ste 203
Millburn, NJ 07041
Phone (973) 762-9294

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1376554378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "address_2": "STE C5",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403747",
            "telephone_number": "973-763-2555",
            "fax_number": "973-763-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "address_2": "STE C5",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403747",
            "telephone_number": "973-763-2555",
            "fax_number": "973-763-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "GUY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA069818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8308004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.