Individual provider Active NPI

Antonia Evangelina Guzman

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1962193144
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F35184201 Issued in NY
Practice address
29 Wadsworth Ave Apt 1B
New York, NY 10033-7011
Phone
(212) 928-1366
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F35184201 NY Primary

Addresses

Primary practice location

29 Wadsworth Ave Apt 1B
New York, NY 10033-7011

Mailing address

337 Sylvan Ave
Leonia, NJ 07605-2026
Phone (551) 404-7885

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419002862 NY Practitioner - Nurse Practitioner 5799124947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F35184201NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juan a. Alba, MDPC CurrentSince Mar 12, 2025 Accepting new patients
Marc Waldman,DPM PC PastSince May 21, 2023 Accepting new patients

Locations

29 Wadsworth Ave
Apt 1B
New York, NY 10033
Phone (212) 684-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAFAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1962193144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SYLVAN AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052026",
            "telephone_number": "551-404-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337011",
            "telephone_number": "212-928-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ANTONIA",
        "middle_name": "EVANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F35184201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.