Gustave S. Drivas MD. PC.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

186334 Issued in NY

Legal business name

GUSTAVE S. DRIVAS MD. PC.

Doing business as

Huguenot Laser Arts and Health Care

Practice address

3377 Richmond Ave
Basement
Staten Island, NY 10312-2025

Phone

(718) 948-3890

Fax

(718) 948-3961

NPI assigned

Jun 7, 2007

Last updated

Feb 25, 2008By 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

Dr. Gustave Stephen Drivas, MDNPI 1003867730

Title

President

Phone

(718) 948-3890

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Huguenot Laser Arts and Health Care Doing business as

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.

• Gustave Stephen Drivas, M.D.,

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1003867730
  NPD (past) Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1477756377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 RICHMOND AVE",
            "address_2": "BASEMENT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-948-3890",
            "fax_number": "718-948-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 RICHMOND AVE",
            "address_2": "BASEMENT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "718-948-3890",
            "fax_number": "718-948-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVE S. DRIVAS MD. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DRIVAS",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-948-3890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "186334",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huguenot Laser Arts and Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Radmila Gurkovsky, LCAT, ATR-P
• Wendy Gurtman
• Namratha Guruvaiah Sridhara, M.D.
• Elizabeth Gurzakovic, M.A.
• Olga Guskova, PA-C
• Justina Gut, DNP
• Thomas Gut, D.O.
• Jacqueline Guterman, MD, PHD
• Nicola Guthrie-Brown, LPN
• Brian Manalansan Gutierrez, MD

• Pain Medicine (Anesthesiology) Physician in Staten Island, NY
• Providers in Staten Island, 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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.