EDUARDO FASTAG GUTTMAN (NPI# 1699150177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699150177 |
| Entity Type | Individual |
| Full Name | EDUARDO FASTAG GUTTMAN |
| Credential | MD |
| Practice Address |
703 Main St Paterson NJ 07503-2621 |
| Mailing Address |
2 Hackensack St Apt F1 Wood Ridge NJ 07075-2348 |
| Practice Telephone | 9737542543 |
| Mailing Telephone | 7148667716 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 162290 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD465418 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619378502 | Express Pediatrics, LLC | Pediatrics | 1042 Main St, Paterson, NJ 07503-2212 | 2014-09-10 |
| 1346641651 | Patricia Pichilingue Reto | Pediatrics | 200 Hospital Plz Apt 304, Paterson, NJ 07503-3075 | 2014-09-07 |
| 1154644300 | Shama S Rao | Pediatrics | 30 East 38th St, Paterson, NJ 07514-8750 | 2010-03-02 |
| 1265692610 | Gloria Maria Mejia | Pediatrics | 534 - 21st Avenue, Paterson, NJ 07513 | 2008-06-10 |
| 1376718551 | Lourdes Aguayo-figueroa | Pediatrics | St Joseph's Children Hospital, 703 Main St, Paterson, NJ 07503 | 2008-04-28 |
| 1912055039 | Jose Batista | Pediatrics | 156 Market St, Paterson, NJ 07505-1702 | 2007-01-08 |
| 1740371053 | Ferhana Khan | Pediatrics | 227 Broadway, Paterson, NJ 07501 | 2006-09-28 |
| 1376569780 | Parvin P Naficy | Pediatrics | 665 Broadway, Paterson, NJ 07514-1923 | 2006-07-15 |
| 1578593422 | Michael David Nathan | Pediatrics | 280 E 33rd St, Paterson, NJ 07504-1536 | 2006-07-04 |
| 1265489116 | Edgar R. Mejia Md Pa | Pediatrics | 760 Market St, Paterson, NJ 07513-1241 | 2006-05-27 |
| Find all providers in PATERSON | ||||
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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.