Individual provider Active NPI

Irina Gutnik, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1669547667
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
164901 Issued in NY
Practice address
1616 Voorhies Ave Ste a
Brooklyn, NY 11235-3914
Phone
(718) 332-5678
Fax
(718) 934-1780
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 164901 NY Primary

Addresses

Primary practice location

1616 Voorhies Ave Ste a
Brooklyn, NY 11235-3914

Mailing address

1616 Voorhies Ave Ste a
Brooklyn, NY 11235-3914
Phone (718) 332-5678

Other practice location 1

1711 Sheepshead Bay Road
Brooklyn, NY 11235
Phone (718) 332-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040903001176 NY Practitioner - General PracticePractitioner - Pathology 3476529058 Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Medical Care of Ny,P.C. Past Accepting new patients

Organizations & group practices 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1669547667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 VOORHIES AVE STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-332-5678",
            "fax_number": "718-934-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 VOORHIES AVE STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353914",
            "telephone_number": "718-332-5678",
            "fax_number": "718-934-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 Sheepshead Bay Road",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11235",
            "country_code": "US",
            "telephone_number": "718-332-5678",
            "fax_number": "718-934-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTNIK",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "164901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.