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DR. GLORYANNE GAUTIER NIEVES MD
NPI 1164049854
Surgery in Philadelphia, PA

Active since June 29, 2020
333 COTTMAN AVE, PHILADELPHIA, PA 19111(888) 369-2427 Get Directions Write a Review

NPPES record last updated: July 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2025, Jun 29, 2020 (2 updates tracked since 2020).

About Dr. Gloryanne Gautier Nieves Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLORYANNE GAUTIER NIEVES MD (NPI 1164049854) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489864) and active in the NPI registry since June 2020. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1164049854
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. GLORYANNE GAUTIER NIEVESCredential: MD
Location Address333 COTTMAN AVEPhiladelphia, PA 19111-2497
Mailing Address3509 N Broad St Ste 226Philadelphia, PA 19140-4105 · (215) 707-9837
Phone(888) 369-2427
Sole ProprietorNo
Enumeration DateJune 29, 2020
Last NPPES UpdateJuly 6, 20252 updates tracked since enumeration
NPPES CertifiedJuly 6, 2025
✔ NPI 1164049854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD489864✔ Licensed in PA · MT221949
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
333 COTTMAN AVE, Philadelphia, PA 19111
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Other Names 1

Other Name (5)Dr. Gloryanne Gautier Md

Secondary Practice Location 1

Location 15401 Old York Rd # Klein101Philadelphia, PA 19141-3030 · Phone (215) 456-3443 · Fax (215) 456-7602

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.
Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
JAMES SUN MD
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 854-9799
MS. MALA T KAILASAM MD
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
HEALTH SERVICES OF FOX CHASE CANCER CTR.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
ELENA DREYZIN PA-C
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (888) 369-2427
FREWEINI TESFALEDET PA
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
MARIUSZ A WASIK MD
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3675
DR. BARBARA C. CAVANAUGH M.D.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloryanne Gautier Nieves's NPI number?

The NPI number for Gloryanne Gautier Nieves is 1164049854. It was assigned to this individual provider in the NPPES registry on June 29, 2020. The provider is also known as Dr. Gloryanne Gautier MD.

Where is Gloryanne Gautier Nieves located?

Gloryanne Gautier Nieves practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (888) 369-2427.

What is Gloryanne Gautier Nieves's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Gloryanne Gautier Nieves was last updated on July 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.