Active NPI
Andrew Justin Gutmajer, DPT
- Physical Therapist
- Woodmere, NY
National Provider Identifier
1598045924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033942
- Practice address
- 610 Arbuckle Ave
Woodmere, NY 11598 - Phone
- (917) 267-9234
- Fax
- (516) 778-9489
- NPI assigned
- Aug 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033942 | NY | Primary |
Addresses
Primary practice location
610 Arbuckle Ave
Woodmere, NY 11598
Mailing address
610 Arbuckle Ave
Woodmere, NY 11598
Phone (516) 778-9488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 78.68
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033942 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John'S Medical Services PC | Current | Accepting new patients | |
| New York Rehabilitative Services | Past | Accepting new patients | |
| Prokinetics Physical Therapy P.C. | Physical Therapist | Past | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients |
Locations
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- andrew.gutmajer.1@14448.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
-
- Prosthetic/Orthotic Supplier
- Valley Stream, NY
- NPI 1629258991
-
- Physical Therapist
- Brooklyn, NY
- NPI 1922412220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1598045924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ARBUCKLE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "516-778-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 ARBUCKLE AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "917-267-9234",
"fax_number": "516-778-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAJER",
"first_name": "ANDREW",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.