Enrico Paulo R Gutierrez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01659000 Issued in NJ

Practice address

948 Potter Ave
Union, NJ 07083-7622

Phone

(908) 400-0427

NPI assigned

Oct 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1861968703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 POTTER AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837622",
            "telephone_number": "908-400-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 POTTER AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837622",
            "telephone_number": "908-400-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Cypress Waters Blvd",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750194594",
            "country_code": "US",
            "telephone_number": "800-788-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ENRICO PAULO",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01659000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleidys Guerra Echevarria, DMD
• Aldrin Guerrero
• Isha Duggal Gupta, M.D.
• Katherine Gurango, M.S.,CCC-SLP
• Rosselle Poblete Gurango, OTR/L
• Alissa Gutowski
• Rama Emilija Gvildys, D.M.D.
• James E. Haberman, M.D.
• Nicole J Haddad
• Denise Hadzovic

• Physical Therapist in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.