Individual provider Active NPI

Gerald Jay Guzy, D.D.S.

  • Pediatric Dentistry
  • Westwood, NJ
National Provider Identifier
1750599858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12032 Issued in NJ
Practice address
259 Kinderkamack Rd
Westwood, NJ 07675-2204
Phone
(201) 666-2440
NPI assigned
May 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12032 NJ Primary

Addresses

Primary practice location

259 Kinderkamack Rd
Westwood, NJ 07675-2204

Mailing address

259 Kinderkamack Rd
Westwood, NJ 07675-2204
Phone (201) 666-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000667 NJ Order and Referring Only - DentistPractitioner - Dentist 1456662295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12032NJMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750599858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 KINDERKAMACK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752204",
            "telephone_number": "201-666-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 KINDERKAMACK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752204",
            "telephone_number": "201-666-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZY",
        "first_name": "GERALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "12032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.