Luiza Guseynov,Physician,PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

233370 Issued in NY

Legal business name

LUIZA GUSEYNOV,PHYSICIAN,PLLC

Practice address

3108 Kingsbridge Ave
Ground Floor,Office B
Bronx, NY 10463-3956

Phone

(718) 432-0200

Fax

(718) 432-0201

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Luiza Guseynov, M.D.NPI 1114994134

Title

Physician

Phone

(718) 432-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luiza Guseynov, M.D.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1114994134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1629384342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16832 POWELLS COVE BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571523",
            "telephone_number": "718-432-0200",
            "fax_number": "718-432-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 KINGSBRIDGE AVE",
            "address_2": "GROUND FLOOR,OFFICE B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633956",
            "telephone_number": "718-432-0200",
            "fax_number": "718-432-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIZA GUSEYNOV,PHYSICIAN,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "GUSEYNOV",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-432-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "233370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ting F Lui
• Luis D. Castro
• Luis E Guerrero, MD, PC
• Jayson Adam Luis, L.AC, DIPL. O.M.
• Luisa Vega DNP NP in Psychiatry Services PLLC
• Janet Lujan
• Winnie Luk
• Marina D Lukban, MS.ED.
• Anne Luke, NP
• Nicholas Luke

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.

Verify at the official NPI Registry.