Active NPI
Emma Jeanette Guzman, DDS
- Dentist
- Freeport, NY
National Provider Identifier
1447790134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060002
- Practice address
- 55 N Ocean Ave
Freeport, NY 11520 - Phone
- (516) 378-3280
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 060002 | NY | Primary |
Addresses
Primary practice location
55 N Ocean Ave
Freeport, NY 11520
Mailing address
2353 Foster Ave Apt 4C
Brooklyn, NY 11210-1157
Phone (917) 288-7400
Other practice location 1
1775 Grand Concourse, 6th Floor
Bronx Lebanon Hospital Center, Dept of Dentistry
Bronx, NY 10453
Phone (718) 901-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060002 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cosmetic & Laser Dental Studio | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Freeport, NY
- NPI 1316287964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1447790134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 FOSTER AVE APT 4C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101157",
"telephone_number": "917-288-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N OCEAN AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-378-3280"
}
],
"practiceLocations": [
{
"address_1": "1775 Grand Concourse, 6th Floor",
"address_2": "Bronx Lebanon Hospital Center, Dept of Dentistry",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10453",
"country_code": "US",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "EMMA",
"middle_name": "JEANETTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.