GUY J PEAN (NPI# 1255442513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255442513 |
| Entity Type | Individual |
| Full Name | GUY J PEAN |
| Credential | MD |
| Practice Address |
177 E 122nd St New York NY 10035-2906 |
| Mailing Address |
721 E 48th St Brooklyn NY 11203-5801 |
| Practice Telephone | 2123607116 |
| Mailing Telephone | 7184511128 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
201871 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01701431 | 05 |
| Street Address |
177 E 122ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036160 | Felicia Artis | Social Worker | 177 E 122nd St, New York, NY 10035-2906 | 2020-02-26 |
| 1093293391 | Hillary Ann Bowden | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2018-07-30 |
| 1851889141 | Deborah Marie Clemons | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2018-04-23 |
| 1275047136 | Rebekah Souder-russo | Social Worker | 177 E 122nd St, New York, NY 10035-2906 | 2017-11-29 |
| 1013421072 | Cailee Walden | Registered Nurse | 177 E 122nd St, New York, NY 10035-2906 | 2017-11-28 |
| 1013430743 | Raymond Morales | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2017-07-25 |
| 1487106613 | Ray Atherley | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2016-11-04 |
| 1669841763 | Robert Charles Wright | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-09-18 |
| 1922494178 | Scott Louis Schapiro | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-04-14 |
| 1932594835 | Delfreda Harris | Counselor | 177 E 122nd St, New York, NY 10035-2906 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
| 1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
| 1215050273 | Bruno Recupero | Family Medicine | 26 Avenue A, New York, NY 10009-7601 | 2007-04-06 |
| 1730207119 | Greenwich House Inc | Family Medicine | 122 West 27th Street, 6th Floor, New York, NY 10001 | 2007-03-26 |
| 1023177920 | Sami Kaddouri | Family Medicine | 57 West 57th Streeet, 18th Floor, New York, NY 10019 | 2006-12-06 |
| 1235176355 | Jayant H Gandhi | Family Medicine | 80 E End Ave, Suite -14b, New York, NY 10028-8004 | 2006-05-31 |
| 1932532710 | Annie Levesque | Family Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2013-08-15 |
| 1417183286 | Carter Franklin Dillman | Family Medicine | 30 Park Ave, 15n, New York, NY 10016-3801 | 2009-06-06 |
| 1831304609 | Sharon L Stancliff | Family Medicine | 8 E 3rd St, New York, NY 10003-8908 | 2007-05-14 |
| 1992820930 | Valsa Madhava | Family Medicine | 1824 Madison Ave, New York, NY 10035-3832 | 2007-03-20 |
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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.