Anthony Guobadia, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001059 Issued in NY

Practice address

2444 Walton Ave
Bronx, NY 10468-6407

Phone

(718) 220-8293

Fax

(718) 220-8296

NPI assigned

Oct 5, 2006

Last updated

Mar 19, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G. F.G Medical, P.C

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1053325894
  NPD (past)
• Greater New York Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • White Plains, NY
  • NPI 1093094047
  NPD (past)
• N.R. Medical, P.C

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1912926007
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1881780039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 WALTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686407",
            "telephone_number": "718-220-8293",
            "fax_number": "718-220-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUOBADIA",
        "first_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "001059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Guo, M.D.
• Yanli Guo, PA
• Yi Guo, PHARMD
• Yi Guo, M.D.
• Guobadia Group LLC
• Afeisha Guppy, LPN
• Anil Gupta, MD
• Arjun Gupta
• Ashna Gupta
• Krishan Lal Gupta, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.