Individual provider Active NPI

Robert Nate Gutwillig

  • Specialist
  • West Hempstead, NY
National Provider Identifier
1982429114
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
66 Buckingham Rd
West Hempstead, NY 11552-1708
Phone
(516) 279-0914
NPI assigned
Nov 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

66 Buckingham Rd
West Hempstead, NY 11552-1708

Mailing address

66 Buckingham Rd
West Hempstead, NY 11552-1708
Phone (516) 279-0914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1982429114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BUCKINGHAM RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521708",
            "telephone_number": "516-279-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BUCKINGHAM RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521708",
            "telephone_number": "516-279-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTWILLIG",
        "first_name": "ROBERT",
        "middle_name": "NATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.