Individual provider Active NPI

Christine Gutierrez, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1487975306
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09288400 Issued in NJ
Practice address
104 Delancey St
New York, NY 10002-3202
Phone
(212) 677-2157
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09288400 NJ Primary

Addresses

Primary practice location

104 Delancey St
New York, NY 10002-3202

Mailing address

104 Delancey St
New York, NY 10002-3202
Phone (212) 677-2157

Other practice location 1

7400 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 869-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140312000686 NJ Practitioner - Obstetrics/Gynecology 0840487906 Reassigns benefits to 1 organization
I20200504001943 NY Practitioner - Obstetrics/Gynecology 0840487906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

104 Delancey St
New York, NY 10002-3202
Phone (212) 655-2157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince May 15, 2020 Accepting new patients
Valley Physician Services PC CurrentSince Dec 12, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince May 15, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology Past Accepting new patients

Locations

5-22 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 796-2025

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Frnt A
New York, NY 10017

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

104 Delancey St
New York, NY 10002
Phone (212) 533-5090

Networks

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

Organizations & group practices 4

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1487975306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023202",
            "telephone_number": "212-677-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023202",
            "telephone_number": "212-677-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Bergenline Ave",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "07047",
            "country_code": "US",
            "telephone_number": "201-869-5488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09288400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.