Active NPI
Endocrine Medical Care PC
- Endocrinology, Diabetes & Metabolism Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINE MEDICAL CARE PC
- Practice address
- 860 Grand Concourse
Suite 1K
Bronx, NY 10451-2814 - Phone
- (718) 585-5060
- Fax
- (718) 585-4866
- NPI assigned
- Oct 17, 2012
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodolfo William Guzman, MD
- Title
- President
- Phone
- (718) 585-5060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
860 Grand Concourse
Suite 1K
Bronx, NY 10451-2814
Mailing address
860 Grand Concourse
Suite 1K
Bronx, NY 10451-2814
Phone (718) 585-5060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01370974 | Medicaid | NY | |
| 40K661 | Other | NY | BC/BS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2062059 | Endocrine Medical Care, PC | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bronx, NY
- NPI 1205867835
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1801943048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1922351816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 GRAND CONCOURSE",
"address_2": "SUITE 1K",
"city": "BRONX",
"state": "NY",
"postal_code": "104512814",
"telephone_number": "718-585-5060",
"fax_number": "718-585-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 GRAND CONCOURSE",
"address_2": "SUITE 1K",
"city": "BRONX",
"state": "NY",
"postal_code": "104512814",
"telephone_number": "718-585-5060",
"fax_number": "718-585-4866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINE MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "RODOLFO",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-585-5060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01370974",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "40K661",
"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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.