NPIMap

Individual provider Active NPI

Alan Tsai Guffanti, CRNP

  • Acute Care Nurse Practitioner
  • Wayne, PA
National Provider Identifier
1619236700
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP012075 Issued in PA
Practice address
432 Alderbrook Dr
Wayne, PA 19087-2247
Phone
(215) 687-0190
NPI assigned
May 9, 2012
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP012075 PA Primary

Addresses

Primary practice location

432 Alderbrook Dr
Wayne, PA 19087-2247

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000562 PA Practitioner - Nurse Practitioner 6800050303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guffanti Wound Associates PLLCGroup PAC ID 7517336738, 4 clinicians

Practice addresses (Care Compare)

432 Alderbrook Dr
Wayne, PA 19087-2247
Phone (484) 328-6432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guffanti Wound Associates PLLC Acute Care CurrentSince Oct 21, 2022 Accepting new patients
Advanced Vascular Associates, Inc. CurrentSince Sep 4, 2012 Accepting new patients
Main Line Healthcare CurrentSince Oct 3, 2022 Accepting new patients
Advanced Vascular and Wound Associates Inc Past Accepting new patients

Locations

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 201
Philadelphia, PA 19152
Phone (215) 332-7605

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

600 S Wycombe Ave
Yeadon, PA 19050
Phone (610) 626-8065

Interoperability endpoints

  • Direct secure messaging: aguffanti2125578@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJECCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1619236700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 ALDERBROOK DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872247",
            "telephone_number": "215-687-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUFFANTI",
        "first_name": "ALAN",
        "middle_name": "TSAI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP012075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.