Active NPI
Isadora Guggenheim, FNP
- Nurse Practitioner
- Nyack, NY
National Provider Identifier
1851551519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F342569-01
- Practice address
- 8 Rockland Place
Nyack, NY 10960 - Phone
- (845) 893-2608
- Fax
- (845) 358-2963
- NPI assigned
- Jun 16, 2008
- Last updated
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F342569-01 | NY | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 000303 | CT |
Addresses
Primary practice location
8 Rockland Place
Nyack, NY 10960
Mailing address
8 Rockland Place
Nyack, NY 10960
Phone (845) 893-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000303 | CT | MD | Hearing Instrument Specialist |
| F342569-01 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1851551519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ROCKLAND PLACE",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-893-2608",
"fax_number": "845-358-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ROCKLAND PLACE",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-893-2608",
"fax_number": "845-358-2963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGGENHEIM",
"first_name": "ISADORA",
"name_prefix": "Dr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F342569-01",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CT",
"license": "000303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.