Active NPI
Juan Gaztanaga, M.D.
- Cardiovascular Disease Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME168533
- Practice address
- 9800 S Healthpark Dr Ste 320
Fort Myers, FL 33908-3630 - Phone
- (239) 343-6350
- Fax
- (239) 343-4738
- NPI assigned
- Jun 8, 2009
- Last updated
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME168533 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 236339 | NY |
Addresses
Primary practice location
9800 S Healthpark Dr Ste 320
Fort Myers, FL 33908-3630
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6350
Other practice location 1
120 Mineola Blvd
Suite 500
Mineola, NY 11501-4064
Phone (516) 663-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122830600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923
159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300
2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Lee Memorial Health System | Current | Accepting new patients | |
| New York University | Cardiovascular Disease | Current | Accepting new patients |
| Medical Group of Mineola, PC | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
9800 S Healthpark Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 343-6350
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
530 Hicksville Rd
Bethpage, NY 11714
Phone (516) 937-3511
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
1300 Franklin Ave
#4
Garden City, NY 11530
Phone (516) 663-4480
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
120 Mineola Blvd
Ste 500
Mineola, NY 11501
Phone (516) 663-2765
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jgaztanaga406012@direct.leememorial.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH- Pediatric Ophthalmology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Cardiovascular Disease
-
dba Winthrop Psychiatry Group
- Psychiatry Physician
- Mineola, NY
- NPI 1255798096
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1689800435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-6350",
"fax_number": "239-343-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 S HEALTHPARK DR STE 320",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083630",
"telephone_number": "239-343-6350",
"fax_number": "239-343-4738"
}
],
"practiceLocations": [
{
"address_1": "120 Mineola Blvd",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115014064",
"country_code": "US",
"telephone_number": "516-663-4480",
"fax_number": "516-663-2054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAZTANAGA",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME168533",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "236339",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122830600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
- Elena Gatskevich, M.D.
- Sixtina Gauthier
- Cynthia A Gavilanes
- David Nicholas Gavin, DPM
- Janette U. Gaw, MD
- Ge Spine Orthopedic Sports Therapy Center LLC
- Gear & Yavorsky D.D.S. P.a.
- Gear, Oakes-Lottridge, Scheel and Hamm Dentistry Partnership (Caloosa Dental)
- Robert Dale Gear Jr., DMD, MD
- Robert Dale Gear Sr., D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.