NPIMap

Individual provider Active NPI

Nicholas Stephen Guittari, M. D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bayonne, NJ
National Provider Identifier
1841354537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA050552 Issued in NJ
Practice address
946 Avenue C
Bayonne, NJ 07002-3026
Phone
(201) 436-3900
Fax
(973) 746-8508
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA050552 NJ Primary

Addresses

Primary practice location

946 Avenue C
Bayonne, NJ 07002-3026

Mailing address

584 Ridgewood Ave
Glen Ridge, NJ 07028-1934
Phone (973) 746-7404

Other identifiers 1

IdentifierTypeStateIssuer
4511409MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050622000771 NJ Practitioner - Geriatric Medicine 9638114424 Reassigns benefits to 1 organization
Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

156 Lyons Ave
Newark, NJ 07112-2016
Phone (201) 436-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050552NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
White House Healthcare Center LLC Past Accepting new patients
White House Healthcare and Rehabilitation Center Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nguittari229330@epicdirect.rwjbh.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Daughters of IsraelWest Orange, NJ, CCN 315029 Skilled nursing facility Adp of the SNF Sep 1, 2025
New Community Health Care, Inc.Newark, NJ, CCN 315393 Skilled nursing facility Adp of the SNF Dec 30, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841354537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 RIDGEWOOD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281934",
            "telephone_number": "973-746-7404",
            "fax_number": "973-746-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-436-3900",
            "fax_number": "973-746-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITTARI",
        "first_name": "NICHOLAS",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA050552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4511409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.