Individual provider Active NPI

Gary Joseph Guarnaccia, MD

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1568458032
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
124783 Issued in NY
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

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
339541OtherNYBCBS
2206787OtherNYAETNA INS
00406542MedicaidNY
0097345OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20081009000226 NY Practitioner - Internal MedicinePractitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 3476621053
I20201001000053 NJ Practitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 3476621053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124783NYMDGynecology Physician
25MA03604200NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Clinical Associates PC Gynecology Current Accepting new patients
Forest Hills Womens Medical Care PC PastSince Feb 1, 2008 Accepting new patients
Michael S. Drew MD PLLC PastSince Jun 30, 2022 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.

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

Verify at the official NPI Registry.