Individual provider Active NPI

Guillermo Ortiz, M.D.

  • Obstetrics & Gynecology Physician
  • Wharton, NJ
National Provider Identifier
1407828445
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06046500 Issued in NJ
Practice address
249 South Main Street
Wharton, NJ 07885
Phone
(973) 361-5252
Fax
(973) 361-6161
NPI assigned
Feb 3, 2006
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA06046500 NJ Primary

Addresses

Primary practice location

249 South Main Street
Wharton, NJ 07885

Mailing address

249 S Main St
Wharton, NJ 07885-2009
Phone (973) 361-5252

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
I20050603000225 NJ Practitioner - Obstetrics/Gynecology 9739122409 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

101 Madison Ave
Morristown, NJ 07960-7305

111 Madison Ave
Morristown, NJ 07960-7347

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

261 James St
3C
Morristown, NJ 07960-6348
Phone (973) 538-1515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06046500NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince May 1, 2021 Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Jul 1, 2023 Accepting new patients
Huron Pathology Associates PLLC Current Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Feb 4, 2025 Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince May 1, 2021 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

249 S Main St
Wharton, NJ 07885
Phone (973) 361-5252

Interoperability endpoints

  • Direct secure messaging: guillermo.ortiz.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1407828445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852009",
            "telephone_number": "973-361-5252",
            "fax_number": "973-361-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 SOUTH MAIN STREET",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "07885",
            "telephone_number": "973-361-5252",
            "fax_number": "973-361-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06046500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, NJ

Sources for this page

Verify at the official NPI Registry.