Active NPI
Michael Guccione, M.D.
- Specialist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 211368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02560850 | Medicaid | NY |
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
Enrollment records 1
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
- Atlantic DMS - Morrisania Teller Ave
- Park Avenue Dialysis Center LLC
- Atlantic DMS - New York Park Ave
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211368 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klapper & Deluca Pulmonary Associates, P.C. | Current | Accepting new patients | |
| Ny Kidney Hypertension, PLLC | Current | Accepting new patients | |
| Nephrology PLLC | Specialist | Past | 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
- 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.
-
- Nephrology Physician
- Bronx, NY
- NPI 1063685436
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1073625471
-
- Specialist
- Yonkers, NY
- NPI 1609900844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1588999742
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1598760811
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1245502764
Dialysis facility
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.