Organization Active NPI

De Guzman & de Guzman Medical Ass PA

  • Specialist
  • Mahwah, NJ
National Provider Identifier
1730134164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA41855 Issued in NJ
Legal business name
DE GUZMAN & DE GUZMAN MEDICAL ASS PA
Practice address
688 Wyckoff Ave
Mahwah, NJ 07430-3033
Phone
(201) 891-3080
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Francisco Deguzman, MD
Title
Owner
Phone
(201) 891-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA41855 NJ Primary

Addresses

Primary practice location

688 Wyckoff Ave
Mahwah, NJ 07430-3033

Mailing address

688 Wyckoff Ave
Mahwah, NJ 07430-3033
Phone (201) 891-3080

Other identifiers 1

IdentifierTypeStateIssuer
0661309MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730134164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 WYCKOFF AVE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303033",
            "telephone_number": "201-891-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 WYCKOFF AVE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303033",
            "telephone_number": "201-891-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE GUZMAN & DE GUZMAN MEDICAL ASS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-891-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA41855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0661309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.