Organization Active NPI

Robert J. Guglielmo

  • Clinical Social Worker
  • Bayville, NY
National Provider Identifier
1881807139
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031791-1 Issued in NY
Legal business name
ROBERT J. GUGLIELMO
Practice address
7 Woods LN
Bayville, NY 11709-2607
Phone
(917) 848-6023
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Mr. Robert Joseph Guglielmo, LCSW
Title
Psychotherapist
Phone
(917) 848-6023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R031791-1 NY Primary

Addresses

Primary practice location

7 Woods LN
Bayville, NY 11709-2607

Mailing address

7 Woods LN
Bayville, NY 11709-2607
Phone (917) 848-6023

Other identifiers 1

IdentifierTypeStateIssuer
P560480OtherNYOXFORD INS.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1881807139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODS LN",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117092607",
            "telephone_number": "917-848-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WOODS LN",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117092607",
            "telephone_number": "917-848-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. GUGLIELMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-848-6023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031791-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS.",
            "identifier": "P560480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.