Individual provider Active NPI

Eliscer Guzman, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1679560833
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
161145 Issued in NY
Practice address
629 W 185TH St
2ND Floor
New York, NY 10033-3102
Phone
(212) 781-9223
Fax
(212) 781-0513
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 161145 NY Primary

Addresses

Primary practice location

629 W 185TH St
2ND Floor
New York, NY 10033-3102

Mailing address

PO Box 837
Hartsdale, NY 10530-0837
Phone (718) 562-6570

Other identifiers 2

IdentifierTypeStateIssuer
2285021OtherNYECFMG
00947860MedicaidNY

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
I20060130000574 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6608880646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Unlimited PCGroup PAC ID 4082797576, 2 clinicians

Practice addresses (Care Compare)

3131 Grand Concourse
Bronx, NY 10468-1442
Phone (347) 269-8444

629 W 185TH St
New York, NY 10033-3102
Phone (212) 781-9223

PO Box
521 442 E 167TH St
Bronx, NY 10456

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Unlimited PC Cardiovascular Disease CurrentSince Dec 1, 2007 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease Past Accepting new patients

Locations

442 E 167th St
Bronx, NY 10456

3131 Grand Concourse
Frnt
Bronx, NY 10468

3131 Grand Concourse
Bronx, NY 10468
Phone (718) 295-7900

3131 Grand Concourse
Ste 10
Bronx, NY 10468
Phone (718) 295-7900

1150 Webster Ave
Bronx, NY 10456
Phone (212) 567-5266

3131 Grand Concourse
Apt 1B
Bronx, NY 10468
Phone (718) 295-7900

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
Fl 2
New York, NY 10033
Phone (212) 781-9223

629 W 185th St
Ste 3
New York, NY 10033
Phone (212) 543-3500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDGDD/Endpoint/EGDGDD

Organizations & group practices 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679560833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105300837",
            "telephone_number": "718-562-6570",
            "fax_number": "718-364-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-781-9223",
            "fax_number": "212-781-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ELISCER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "161145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "2285021",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00947860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.