Jill Guzman, APN NURSE PRACTITION

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NN111636 Issued in NJ

Practice address

5301 Broadway
West New York, NJ 07093-2622

Phone

(201) 866-9320

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Santana Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1720135593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ANDOVER DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932622",
            "telephone_number": "201-866-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "APN NURSE PRACTITION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NN111636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SANTANA",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leon Greenberg, D.D.S.
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• Anthony D. Gurdak, O.D.
• Yania Gutierrez Borges, RN
• H Singer'S Pharmacy
• Lonnie Bruce Hall I, DDS
• Rekha Hamal, MD
• James Han, O.D.
• Harmony Bridge LLC

• Pediatric Nurse Practitioner in West New York, NJ
• Providers in West New York, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.