Individual provider Active NPI

Thelma Dumapit Guzman, RN, MS, ANP

  • Adult Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1548557291
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00018600 Issued in NJ
Practice address
741 Broadway
Newark, NJ 07104-4309
Phone
(973) 214-4383
Fax
(973) 455-0601
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00018600 NJ Primary

Addresses

Primary practice location

741 Broadway
Newark, NJ 07104-4309

Mailing address

153 Autumn Ridge Rd
Morris Plains, NJ 07950-1198
Phone (973) 214-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001059 NJ Practitioner - Nurse Practitioner 2567770928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Feb 1, 2018 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Providence Medical Center Past Accepting new patients
University Hospital Past Accepting new patients

Locations

1150 Springfield Ave
Irvington, NJ 07111
Phone (973) 399-6292

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

101 Ludlow St
Newark, NJ 07114
Phone (973) 565-0355

92 Ferry St
Newark, NJ 07105
Phone (973) 803-4510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 5

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1548557291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 AUTUMN RIDGE RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501198",
            "telephone_number": "973-214-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044309",
            "telephone_number": "973-214-4383",
            "fax_number": "973-455-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "THELMA",
        "middle_name": "DUMAPIT",
        "credential": "RN, MS, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00018600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.