Jane Guttenberg

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

192318 Issued in NY

Practice address

390 W End Ave
New York, NY 10024-6107

Phone

(212) 787-1444

Fax

(212) 787-2088

NPI assigned

Sep 21, 2006

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: jguttenberg676357@nychhc.direct-ci.com

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.

• Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • New York, NY
  • NPI 1073612768
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1720187412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W END AVE",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246107",
            "telephone_number": "212-787-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246107",
            "telephone_number": "212-787-1444",
            "fax_number": "212-787-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTENBERG",
        "first_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "192318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Gutstein, DDS
• David Gutstein, M.D.
• Hal S. Gutstein, M.D.
• Maria A Guttadauria, MD
• Brooke Guttenberg, PSYD
• Marissa Guttenberg, DPT
• Nils A. Guttenplan, M.D.
• Sara Guttentag, PSYD
• David Loren Gutteridge, M.D., MPH
• Valerie Ellen Gutterman, M.D.

• Pediatric Adolescent Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.