Individual provider Active NPI

James Francis Gurniak, M.D.

  • Internal Medicine Physician
  • West Nyack, NY
National Provider Identifier
1851420897
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
187070 Issued in NY
Practice address
2244 Palisades Center Dr
West Nyack, NY 10994-6402
Phone
(845) 358-7828
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 187070 NY Primary

Addresses

Primary practice location

2244 Palisades Center Dr
West Nyack, NY 10994-6402

Mailing address

2244 Palisades Center Dr
West Nyack, NY 10994-6402
Phone (845) 358-7828

Other identifiers 1

IdentifierTypeStateIssuer
01644499MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000304 NY Practitioner - Internal Medicine 7517975113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stat Health Medical Services, P.C.Group PAC ID 8022907732, 4 clinicians

Practice addresses (Care Compare)

2244 Palisades Ctr Dr
West Nyack, NY 10994-6402
Phone (845) 358-7828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187070NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Health Medical Services, P.C. CurrentSince Apr 7, 2011 Accepting new patients

Locations

2244 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 237-0081

Organizations & group practices 1

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 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1851420897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946402",
            "telephone_number": "845-358-7828",
            "fax_number": "845-358-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946402",
            "telephone_number": "845-358-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURNIAK",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.