Gladstone L Guniss, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002809-1 Issued in NY

Practice address

629 W 185TH St
New York, NY 10033-3102

Phone

(212) 928-3900

Fax

(212) 795-0470

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1851532477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-928-3900",
            "fax_number": "212-795-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-928-3900",
            "fax_number": "212-795-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNISS",
        "first_name": "GLADSTONE",
        "middle_name": "L",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002809-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013040030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Shoshana Gundle, PSYD
• Deirdre Jane Gundy, MD
• Semih Gungor, M.D.
• Preethi Guniganti, MD
• Drew Gunio, M.D.
• Abigail Rose Gunn, LMHC
• Karthik Gunnia, PSY.D.
• Michelle Gunnia, PSY.D.
• Jo Anne Gunopawiro, NPP
• Praveen Kumar Guntaka, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.