Maor Gutwaks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062510-01 Issued in NY

Practice address

120 E 56TH St RM 610
New York, NY 10022-3667

Phone

(212) 826-2322

NPI assigned

Feb 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Park 56 Dental Group P.C.

  • Dentist
  • New York, NY
  • NPI 1639282718
  NPD (past)
• Resource Anesthesiology Associates,PC

  • Anesthesiology Physician
  • Harrison, NY
  • NPI 1588647200
  NPD (past)

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1790378438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223667",
            "telephone_number": "212-826-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223667",
            "telephone_number": "212-826-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTWAKS",
        "first_name": "MAOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-13",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062510-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Guttman, MD
• Emma Guttman, MD
• Leah Guttman
• Stephen Roberts Guttman, LP LICENSEDPSYCHOANA
• Eric Ashby Guttridge, LSW, LMSW
• Marcus Gutzler, MD
• Guy C Pasculli LCSW PC
• Guy Pasculli LCSW PC
• Eric Guy, LCSW
• Kacey-Jean Guy

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.