Sevasti Guthrie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00122600 Issued in NJ

Practice address

1700 Whitehorse Hamilton Square Rd
Hamilton Square, NJ 08690-3536

Phone

(609) 890-2600

Fax

(609) 890-0265

NPI assigned

Apr 12, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1528282795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-890-2600",
            "fax_number": "609-890-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-890-2600",
            "fax_number": "609-890-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "SEVASTI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00122600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MP00122600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R Galante, CRNA
• Emad F Ghabious, MD
• Michael Glogoff, DMD
• Michael S Gordon, MD
• Jennifer M Grazioli, PHARMD
• Patricia Hafitz, RPH, CACP
• Lauren Grace Haig, MD
• Hamilton Anesthesia Associates, PC
• Hamilton Counseling Group, LLC
• Hamilton Dental Associates

• Physician Assistant in Hamilton Square, NJ
• Providers in Hamilton Square, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.