BRUCE GUTELIUS (NPI# 1861934945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861934945 |
| Entity Type | Individual |
| Full Name | BRUCE GUTELIUS |
| Practice Address |
4209 28th St Ws 06-01 Long Island City NY 11101-4130 |
| Practice Telephone | 3473962617 |
| Mailing Telephone | 3473962617 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 248832-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD167144 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
4209 28TH ST WS 06-01 |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022742 | Galia Theresa Austin-leon | Pediatrics | 4209 28th St, Long Island City, NY 11101-4130 | 2005-09-12 |
| 1669004669 | Jennifer Deleon | Health Educator | 4209 28th St, Long Island City, NY 11101-4130 | 2020-02-07 |
| 1679104715 | Rachel Lima | Health Educator | 4209 28th St, Long Island City, NY 11101-4130 | 2020-01-28 |
| 1366001737 | Suzette Indira Singh | Registered Nurse | 4209 28th St, Long Island City, NY 11101-4130 | 2019-06-10 |
| 1760997266 | Stacia Studt | Health Educator | 4209 28th St, Long Island City, NY 11101-4130 | 2017-12-06 |
| 1790213924 | Darnell Alexandre | Pediatrics | 4209 28th St, Long Island City, NY 11101-4130 | 2017-06-01 |
| 1902332091 | Chantel Simone Mason | Pediatrics | 4209 28th St, Long Island City, NY 11101-4130 | 2017-05-10 |
| 1912360371 | Lorene Harry | Dietitian, Registered | 4209 28th St, Long Island City, NY 11101-4130 | 2016-04-03 |
| 1679944581 | New York City Health Department | Public Health or Welfare | 4209 28th St, 8th Fl, Long Island City, NY 11101-4130 | 2015-10-19 |
| 1750768958 | Joanne Mercedes Fernandez-booker | Pediatrics | 4209 28th St, Long Island City, NY 11101-4130 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275807364 | Michael Joseph Louie | Internal Medicine | 4251 Hunter St Apt 5a, Long Island City, NY 11101-4111 | 2012-03-07 |
| 1245518463 | Mikram Jafri | Internal Medicine | 4906 Vernon Blvd Apt 3, Long Island City, NY 11101-5726 | 2011-07-22 |
| 1043503048 | Americo Ramon Sicilia | Internal Medicine | 4704 Van Dam St, Long Island City, NY 11101-3012 | 2011-05-24 |
| 1497050017 | Paul L. Mitchell | Internal Medicine | 4-74 48th Ave., Apt. 7b, Long Island City, NY 11109-5609 | 2011-01-12 |
| 1053629378 | Hazel Rumbaua Buenavista | Internal Medicine | 2146 45th Rd, Long Island City, NY 11101-4707 | 2010-09-21 |
| 1578709556 | Constantin C Anagnostopoulos Md PC | Internal Medicine | 30-14 31st Avenue, Long Island City, NY 11106-2405 | 2008-12-23 |
| 1598964835 | Provat Chandra Das | Internal Medicine | 25-10 30th Avenue, 2nd Floor, Long Island City, NY 11102 | 2007-07-17 |
| 1316142441 | Shani Andre | Internal Medicine | 2515 Queens Plz N, Long Island City, NY 11101-4001 | 2007-06-19 |
| 1740340173 | Miroslav R Miletic | Internal Medicine | 3415 24th Street, Long Island City, NY 11106 | 2006-12-08 |
| 1336207364 | Arthur Hazarian | Internal Medicine | 4338 44th St, Long Island City, NY 11104-4608 | 2006-12-04 |
| Find all providers in LONG ISLAND CITY | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
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| 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.