KEVIN JORGE GUZMAN AGUILAR (NPI# 1114492196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492196 |
| Entity Type | Individual |
| Full Name | KEVIN JORGE GUZMAN AGUILAR |
| Credential | SA-C |
| Practice Address |
3240 54th St Fl 2 Woodside NY 11377-1928 |
| Practice Telephone | 2013557656 |
| Mailing Telephone | 2013557656 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-412 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3240 54TH ST FL 2 |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073164000 | Freddy Alejandro Hung Balza | Specialist/Technologist, Other | 4046 69th St, Woodside, NY 11377-3836 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611599 | Fritz Damas Francois | Specialist/Technologist, Other | 159 S Lexington Ave Apt 6e, White Plains, NY 10601-4123 | 2020-08-25 |
| 1124650056 | Luis Edgardo Cova Salazar | Specialist/Technologist, Other | 3549 166th St, Flushing, NY 11358-1722 | 2020-02-08 |
| 1336771260 | Samuel Antonio Rodriguez Polanco | Specialist/Technologist, Other | 8824 242nd St, Bellerose, NY 11426-1241 | 2020-02-08 |
| 1699328401 | Carolina Bejarano Vargas | Specialist/Technologist, Other | 28 Hedgerow Ln, Commack, NY 11725-2731 | 2019-07-20 |
| 1245883040 | Juan Alejandro Lantigua | Specialist/Technologist, Other | 541 W 204th St Apt 3k, New York, NY 10034-4041 | 2019-07-20 |
| 1235782038 | Sergia Melendez | Specialist/Technologist, Other | 2865 University Ave Apt C1, Bronx, NY 10468-2354 | 2019-07-20 |
| 1609429521 | Maria Medina | Specialist/Technologist, Other | 615 Wadleigh Ave, West Hempstead, NY 11552-3714 | 2019-07-19 |
| 1942764998 | Janeth Lebowitz | Specialist/Technologist, Other | 42 Beacon Hill Dr Apt 7a1, Dobbs Ferry, NY 10522-2463 | 2019-01-24 |
| 1144792854 | Rafael Reyes | Specialist/Technologist, Other | 14809 88th Ave Apt 2a, Jamaica, NY 11435-3424 | 2018-12-19 |
| 1174094031 | Ygnacio Trinidad Mosquea Farias | Specialist/Technologist, Other | 811 Pine St Fl 2, Brooklyn, NY 11208-5527 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEVIN JORGE GUZMAN AGUILAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.