Individual provider Active NPI

Michael Guccione, M.D.

  • Specialist
  • Bronx, NY
National Provider Identifier
1902893340
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
211368 Issued in NY
Practice address
3322 Bainbridge Ave
Bronx, NY 10467-2849
Phone
(718) 881-2100
Fax
(718) 881-5164
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 211368 NY Primary

Addresses

Primary practice location

3322 Bainbridge Ave
Bronx, NY 10467-2849

Mailing address

PO Box 1042
PO Box 1042
Ridgefield, CT 06877-9042
Phone (718) 881-2100

Other identifiers 1

IdentifierTypeStateIssuer
02560850MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000279 NY Practitioner - Nephrology 9234152935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3322 Bainbridge Ave
Bronx, NY 10467-2849
Phone (718) 881-2100

Hospital & facility affiliations

  • BCRD Bronx Center For Renal Dialysis Dialysis facility, Bronx, NY, CCN 332677
  • Atlantic DMS - Morrisania Teller Ave Dialysis facility, Bronx, NY, CCN 332648
  • Park Avenue Dialysis Center LLC Dialysis facility, New York, NY, CCN 332727
  • Atlantic DMS - New York Park Ave Dialysis facility, Bronx, NY, CCN 332582
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211368NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Klapper & Deluca Pulmonary Associates, P.C. CurrentSince Jan 1, 2006 Accepting new patients
Ny Kidney Hypertension, PLLC CurrentSince Apr 30, 2003 Accepting new patients
Nephrology PLLC Specialist PastSince Jan 1, 2002 Accepting new patients

Locations

1010 Underhill Ave
Bronx, NY 10472
Phone (718) 863-6700

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400085

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1902893340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1042",
            "address_2": "PO BOX 1042",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068779042",
            "telephone_number": "718-881-2100",
            "fax_number": "718-881-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672849",
            "telephone_number": "718-881-2100",
            "fax_number": "718-881-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCCIONE",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "211368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02560850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.