Individual provider Active NPI

Rebecca De Guzman Go, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1770814543
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
552069 Issued in NY
Practice address
525 E 68TH St
Box 124
New York, NY 10065-4870
Phone
(212) 746-2949
Fax
(212) 746-8563
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 552069 NY
Certified Registered Nurse Anesthetist 367500000X 552069 NY Primary

Addresses

Primary practice location

525 E 68TH St
Box 124
New York, NY 10065-4870

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (212) 746-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000232 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254514565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians
Endoscopy Center of Long Island LLCGroup PAC ID 2668370123, 21 clinicians

Practice addresses (Care Compare)

301 E Main St
Bay Shore, NY 11706-8408
Phone (914) 666-8866

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2846

711 Stewart Ave
Suite 114
Garden City, NY 11530-4719
Phone (516) 227-3254

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
552069NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 1, 2012 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 1, 2018 Accepting new patients
Endoscopy Center of Long Island LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#124
New York, NY 10065
Phone (212) 746-2790

1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1770814543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-746-2949",
            "fax_number": "212-746-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 124",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-2949",
            "fax_number": "212-746-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "REBECCA",
        "middle_name": "DE GUZMAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "552069",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "552069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.