Michael Ozlo Gudleski, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

025171 1 Issued in NY

Practice address

114 And Amsterdam Ave
St Lukes Hospital Contunuum Health
New York, NY 10009

Phone

(212) 533-4446

Fax

(212) 523-4598

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Robert Gudleski Former name

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

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Complete Neurological Care PC

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1962775882
  Medicare reassignment Care Compare group
• SJ All Medical PC

  • Clinical Neurophysiology Physician
  • Valley Stream, NY
  • NPI 1750793642
  Medicare reassignment

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376610337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STUYVESANT OVAL",
            "address_2": "APT 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092424",
            "telephone_number": "212-674-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AND AMSTERDAM AVE",
            "address_2": "ST LUKES HOSPITAL CONTUNUUM HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "212-533-4446",
            "fax_number": "212-523-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDLESKI",
        "first_name": "MICHAEL",
        "middle_name": "OZLO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "025171 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "GUDLESKI",
            "middle_name": "ROBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirana Gudi, MD
• Fernando Gudiel
• Leticia Gudiel
• David Gudis, MD
• Abhijit Gudivada
• Gina Gudofsky, MD
• Apo Burca Gue Jr.
• Jessica Gue
• Leanne Rose Gueits
• Ted Guekjian

• Surgical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.