Individual provider Active NPI

Guiyu Zhao, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1821481896
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306488 Issued in NY
Practice address
763 56TH St
Brooklyn, NY 11220-3594
Phone
(718) 567-3667
Fax
(718) 567-2332
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306488 NY Primary

Addresses

Primary practice location

763 56TH St
Brooklyn, NY 11220-3594

Mailing address

1425 76TH St
Brooklyn, NY 11228-2407
Phone (718) 232-1069

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191218001312 NY Practitioner - Nurse Practitioner 4284068628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC Gynecology Oncology FPPGroup PAC ID 2163609116, 3 clinicians

Practice addresses (Care Compare)

953 49TH St
Brooklyn, NY 11219-2923
Phone (718) 283-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306488NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Gynecology Oncology FPP CurrentSince Nov 2, 2019 Accepting new patients
MMC OB-GYN Faculty Practice Plan CurrentSince Nov 2, 2019 Accepting new patients
Maimonides Faculty Practice Plan Past Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients

Locations

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

745 64th St
Ste 217
Brooklyn, NY 11220

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

745 64th St
Ste 2
Brooklyn, NY 11220
Phone (718) 283-7602

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1821481896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 76TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282407",
            "telephone_number": "718-232-1069",
            "fax_number": "718-567-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203594",
            "telephone_number": "718-567-3667",
            "fax_number": "718-567-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "GUIYU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.