Individual provider Active NPI

Jeannette R Guzman, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1982957569
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337224 Issued in NY
Practice address
575 W 161St St
New York, NY 10032-6101
Phone
(212) 928-8888
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 F337224 NY Primary

Addresses

Primary practice location

575 W 161St St
New York, NY 10032-6101

Mailing address

575 W 161St St
New York, NY 10032-6101
Phone (212) 928-8888

Other identifiers 1

IdentifierTypeStateIssuer
F337224OtherNYFNP LICENSE

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
I20130114000484 NY Practitioner - Nurse Practitioner 7618120064 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F337224NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Guzman Nurse Practitioner in Family Health PC Family Current Accepting new patients
Fernando Taveras, MD PC CurrentSince Sep 1, 2020 Accepting new patients
Groupo Medico Dominicano PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
#3
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
Ste 301
New York, NY 10033

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1982957569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326101",
            "telephone_number": "212-928-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326101",
            "telephone_number": "212-928-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JEANNETTE",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "F337224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.