Kevin Guo, Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221773 Issued in NY

Legal business name

KEVIN GUO, MEDICAL PC

Practice address

70 Bowery
Suite 308
New York, NY 10013-4607

Phone

(212) 966-8488

NPI assigned

Oct 9, 2007

Last updated

May 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy Sun

Title

Manager

Phone

(212) 966-8488

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin J Guo, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1205928694
  Medicare reassignment NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1447448048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BOWERY",
            "address_2": "SUITE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134607",
            "telephone_number": "212-966-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BOWERY",
            "address_2": "SUITE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134607",
            "telephone_number": "212-966-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN GUO, MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-966-8488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "WEU171",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Kettyle, RN
• Sungkyung Kelly Keum, FNP
• William Keusch
• Janine Keuskamp, MD
• Kevin E. Smith DDS PC
• Kevin M Troy MD PC
• Kevin N T Lin, MD., P.C.
• Kevin P. Morrissey MD PC
• Kevin Towers DPT PLLC
• Kevin Weaver PT PC (Academy PT)

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.