Individual provider Active NPI

Matthew Joel Guy, MD

  • Gastroenterology Physician
  • Rockaway Park, NY
National Provider Identifier
1679517643
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
108805 Issued in NY
Practice address
14404 Rockaway Beach Blvd
Rockaway Park, NY 11694-1141
Phone
(718) 945-2714
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 108805 NY Primary

Addresses

Primary practice location

14404 Rockaway Beach Blvd
Rockaway Park, NY 11694-1141

Mailing address

14404 Rockaway Beach Blvd
Neponsit, NY 11694-1141
Phone (718) 945-2714

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
I20080723000811 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6204909245 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Medical Care Services PLLC CurrentSince May 1, 2015 Accepting new patients
Collins Wellcare Medical, P.C. Past Accepting new patients
Complete Medical Ny, PC PastSince Mar 1, 2011 Accepting new patients
Great City Medical PC PastSince Oct 31, 2017 Accepting new patients
Comprehensive Rehabilitation Medicine P.C. PastSince May 1, 2015 Accepting new patients
SZS Medical Care PLLC Past Accepting new patients
Galaxy Medical PC Gastroenterology PastSince May 1, 2013 Accepting new patients
Health Care for All, NP in Adult Health, P.C. Past Accepting new patients
Richmond Medical Health Care P.C. Past Accepting new patients

Locations

42 Richmond Ter
Fl 1
Staten Island, NY 10301
Phone (718) 273-2700

Organizations & group practices 10

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1679517643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14404 ROCKAWAY BEACH BLVD",
            "city": "NEPONSIT",
            "state": "NY",
            "postal_code": "116941141",
            "telephone_number": "718-945-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14404 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941141",
            "telephone_number": "718-945-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "MATTHEW",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "108805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.