GT Medical PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

269058 Issued in NY

Legal business name

GT MEDICAL PC

Practice address

9436 58TH Ave # G4
Elmhurst, NY 11373

Phone

(347) 947-7692

Fax

(347) 947-7680

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Qiao Dong Guo, M.D.NPI 1760624423

Title

President

Phone

(347) 947-7692

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Queens Medical Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qiao Guo, M.D.

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1760624423
  Medicare reassignment Care Compare group NPD Authorized official
• Minyi Tan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Stony Brook, NY
  • NPI 1801039789
  Medicare reassignment Care Compare group NPD
• Tiffany Yu, PA-C

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1053203331

  Single Specialty

  NPD

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1437507779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 58TH AVE # G4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735149",
            "telephone_number": "347-947-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 58TH AVE # G4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "347-947-7692",
            "fax_number": "347-947-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13107 40th Rd",
            "address_2": "E30",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545116",
            "country_code": "US",
            "telephone_number": "347-560-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "QIAO",
        "authorized_official_middle_name": "DONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-947-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "269058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760624423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Medical Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy A Grossman-Eulau, CASAC
• Rebecca Gruia, LCSW
• Belkys Grullon, PA
• Erica Grullon
• Nicole Grunert
• James Guadino
• Celia Yolanda Guaman, COTA
• Meizhen Guan
• Guardian Home Companion Services, LLC
• Amparo Guerra

• Pain Medicine (Anesthesiology) Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.