NPIMap

Individual provider Active NPI

Laura Guderian, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1811190705
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235345 Issued in NY
Practice address
525 West 36TH St
6TH Floor
New York, NY 10018
Phone
(212) 918-9888
Fax
(646) 638-1440
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 235345 NY
Internal Medicine Physician 207R00000X 235345 NY Primary

Addresses

Primary practice location

525 West 36TH St
6TH Floor
New York, NY 10018

Mailing address

38 E 32ND St FL 9
New York, NY 10016-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000754 NY Practitioner - Internal Medicine 1052503257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marcus Avenue Medical PCGroup PAC ID 5698107258, 43 clinicians

Practice addresses (Care Compare)

38 E 32ND St
RM 802
New York, NY 10016-5564
Phone (212) 352-0549

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235345NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Marcus Avenue Medical PC Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
North Shore-Lij Medical PC Internal Medicine PastSince Aug 11, 2024 Accepting new patients

Locations

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

38 E 32nd St
Rm 802
New York, NY 10016
Phone (212) 242-3316

525 W 36th St
Fl 6
New York, NY 10018
Phone (212) 889-5265

489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 440-0658

38 E 32nd St
Fl 9
New York, NY 10016
Phone (212) 725-2660

Networks

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

Interoperability endpoints

  • Direct secure messaging: lguderian66733@northwell.direct-ci.com

Organizations & group practices 4

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 8

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1811190705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E 32ND ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165563",
            "fax_number": "212-725-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WEST 36TH ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-918-9888",
            "fax_number": "646-638-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDERIAN",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "235345",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.