Active NPI
Gary Joseph Guarnaccia, MD
- Gynecology Physician
- New York, NY
National Provider Identifier
1568458032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 124783
- Practice address
- 251 E 33Rd St Lbby 2
New York, NY 10016-4804 - Phone
- (212) 336-3827
- Fax
- (212) 388-6454
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 25MA03604200 | NJ | |
| Gynecology Physician | 207VG0400X | 124783 | NY | Primary |
Addresses
Primary practice location
251 E 33Rd St Lbby 2
New York, NY 10016-4804
Mailing address
251 E 33Rd St Lbby 2
New York, NY 10016-4804
Phone (212) 336-3827
Other practice location 1
600 Old Country Rd Rm 1W
Garden City, NY 11530-2001
Phone (212) 336-3827
Other practice location 2
541 Cedar Hill Ave
Wyckoff, NJ 07481-2150
Phone (212) 336-3827
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339541 | Other | NY | BCBS |
| 2206787 | Other | NY | AETNA INS |
| 00406542 | Medicaid | NY | |
| 0097345 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081009000226 | NY | Practitioner - Internal Medicine | 3476621053 | |
| I20201001000053 | NJ | Practitioner - Internal Medicine | 3476621053 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124783 | NY | MD | Gynecology Physician |
| 25MA03604200 | NJ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Clinical Associates PC | Gynecology | Current | Accepting new patients |
| Forest Hills Womens Medical Care PC | Past | Accepting new patients | |
| Michael S. Drew MD PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gynecology Physician
- New York, NY
- NPI 1669128955
-
- Maternal & Fetal Medicine Physician
- Flushing, NY
- NPI 1023155868
-
- Surgery Physician
- Garden City, NY
- NPI 1689306375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1568458032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E 33RD ST LBBY 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164804",
"telephone_number": "212-336-3827",
"fax_number": "212-388-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E 33RD ST LBBY 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164804",
"telephone_number": "212-336-3827",
"fax_number": "212-388-6454"
}
],
"practiceLocations": [
{
"address_1": "600 Old Country Rd Rm 1W",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115302001",
"country_code": "US",
"telephone_number": "212-336-3827",
"fax_number": "212-388-6454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "541 Cedar Hill Ave",
"address_purpose": "LOCATION",
"city": "Wyckoff",
"state": "NJ",
"postal_code": "074812150",
"country_code": "US",
"telephone_number": "212-336-3827",
"fax_number": "212-388-6454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUARNACCIA",
"first_name": "GARY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "25MA03604200",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "124783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "339541",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "2206787",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00406542",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0097345",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.