Individual provider Active NPI

Zhanna V. Gutnik, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1417929167
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
207278 Issued in NY
Practice address
1616 Voorhies Ave
Suite a
Brooklyn, NY 11235-3914
Phone
(718) 332-5678
Fax
(718) 332-7739
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 207278 NY Primary

Addresses

Primary practice location

1616 Voorhies Ave
Suite a
Brooklyn, NY 11235-3914

Mailing address

1616 Voorhies Ave
Suite a
Brooklyn, NY 11235-3914
Phone (718) 332-5678

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000851 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 9830179670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2814 Clarendon Rd
Brooklyn, NY 11226-6318
Phone (718) 469-7363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Medical Care of Ny,P.C. Gastroenterology CurrentSince Mar 1, 2007 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

1616 Voorhies Ave
#A
Brooklyn, NY 11235
Phone (718) 332-5678

2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363

1068 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 684-1760

900 Avenue H
Ste 1M
Brooklyn, NY 11230
Phone (718) 253-9110

Networks

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

Organizations & group practices 2

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1417929167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 VOORHIES AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-332-5678",
            "fax_number": "718-332-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 VOORHIES AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-332-5678",
            "fax_number": "718-332-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTNIK",
        "first_name": "ZHANNA",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "207278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.