Individual provider Active NPI

Anthony Andrew Guttieri, RPA-C

  • Physician Assistant
  • Westbury, NY
National Provider Identifier
1851607550
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013796-1 Issued in NY
Practice address
761 Merrick Ave
Westbury, NY 11590-6608
Phone
(516) 357-8777
Fax
(516) 357-7251
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013796-1 NY Primary

Addresses

Primary practice location

761 Merrick Ave
Westbury, NY 11590-6608

Mailing address

761 Merrick Ave
Westbury, NY 11590-6608
Phone (516) 357-8777

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
I20120425000061 NY Practitioner - Physician Assistant 9436311206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

301 E Main St
Bay Shore, NY 11706-8408

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013796NYMDMassage Therapist
013796-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Apr 1, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 15, 2017 Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

300 Community Dr
Plandome, NY 11030

Networks

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

Organizations & group practices 3

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1851607550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MERRICK AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906608",
            "telephone_number": "516-357-8777",
            "fax_number": "516-357-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MERRICK AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906608",
            "telephone_number": "516-357-8777",
            "fax_number": "516-357-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTIERI",
        "first_name": "ANTHONY",
        "middle_name": "ANDREW",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.