Active NPI
Rian Guzzo
- Case Manager/Care Coordinator
- Monticello, NY
National Provider Identifier
1710315643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 41 Sheldon Dr
Monticello, NY 12701-4122 - Phone
- (845) 513-5342
- NPI assigned
- Nov 1, 2013
- Reactivated
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
41 Sheldon Dr
Monticello, NY 12701-4122
Mailing address
55 Lakeview Rd
Carmel, NY 10512-2511
Phone (347) 497-1408
Other names 1
- Rian Buntzman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1710315643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKEVIEW RD",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122511",
"telephone_number": "347-497-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SHELDON DR",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127014122",
"telephone_number": "845-513-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZZO",
"first_name": "RIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"deactivation_date": "2015-04-21",
"reactivation_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RIAN",
"last_name": "BUNTZMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.