Tedi Guma

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

025994 Issued in NY

Practice address

7949 Myrtle Ave
Glendale, NY 11385-7451

Phone

(718) 682-7448

NPI assigned

Dec 13, 2020

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tedi.guma@ghuc.eclinicaldirectplus.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.

• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment Care Compare group
• Josef Schenker MD PC

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment Care Compare group
• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment
• Pharma Holding Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Rockland Medical Group, PLLC

  • Internal Medicine Physician
  • Garnerville, NY
  • NPI 1336172501

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1801482930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-682-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-682-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMA",
        "first_name": "TEDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saul Grullon, M.D.
• Zomely Grullon, LCAT-LP, MA
• Faustyna Grzybowska, FNP
• Rebecca Guerrero
• Francy Guerrier
• Junli Guo
• Rachel Guzman, PT
• Ashraf Habib
• Patrick Hagan
• Maged Haleem, PA-C

• Physician Assistant in Glendale, NY
• Providers in Glendale, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.
• 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.