GREGORY GUSTAFSON (NPI# 1629077284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629077284 |
| Entity Type | Individual |
| Full Name | GREGORY GUSTAFSON |
| Credential | M.D. |
| Practice Address |
4401 Francis Lewis Blvd Bayside NY 11361-3002 |
| Practice Telephone | 7184233355 |
| Practice Fax Number | 7184233721 |
| Mailing Telephone | 7184233355 |
| Mailing Fax Number | 7184233721 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
138877 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00827358 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068923 | Gregory Gustafson | Radiology | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2006-03-24 |
| Street Address |
4401 FRANCIS LEWIS BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784239 | Martin M Kay | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2005-07-18 |
| 1871868588 | Francis Lewis Medical, P.C. | Anesthesiology | 4401 Francis Lewis Blvd, Bayside, NY 11361-3028 | 2012-03-13 |
| 1669762258 | North Shore-lij Cardiovascular Medicine PC | Internal Medicine | 4401 Francis Lewis Blvd, Level 3a, Bayside, NY 11361-3002 | 2011-04-15 |
| 1598917825 | Neofitos Stefanides M.d., P.C. | Orthopaedic Surgery | 4401 Francis Lewis Blvd, Suite L3b, Bayside, NY 11361-3002 | 2008-10-17 |
| 1245487081 | Daniel Marrero | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2008-08-22 |
| 1457515967 | Joonhyuk Kim | Internal Medicine | 4401 Francis Lewis Blvd, Suite L2a, Bayside, NY 11361-3028 | 2008-07-14 |
| 1396911525 | Greater Queens Podiatry Pllc | Podiatrist | 4401 Francis Lewis Blvd, L3-b, Bayside, NY 11361-3002 | 2008-05-07 |
| 1457539512 | Nicholas C. Kaloudis M.d. Pllc | Internal Medicine | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2008-01-31 |
| 1881874741 | Angela Un Chong | Physician Assistant | 4401 Francis Lewis Blvd, Ste L3a, Bayside, NY 11361-3028 | 2007-11-08 |
| 1700074051 | Stephanie Noone | Specialist | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653051 | Stylianos P Papadakos | Internal Medicine | 44-01 Francis Lewis Boulevard, Suite L3a, Bayside, NY 11361-3002 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREGORY GUSTAFSON.
| 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.