JONATHAN DE GUZMAN MD
NPI 1346829249
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Jonathan De Guzman's NPI number?

The NPI number for Jonathan De Guzman is 1346829249. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Jonathan De Guzman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 07, 2021PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 741-2426 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan De Guzman Md NPPES

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

JONATHAN DE GUZMAN MD (NPI 1346829249) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346829249

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJONATHAN DE GUZMANCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 741-2426

Phone(718) 741-2426

Sole ProprietorYes

Enumeration DateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1346829249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan De Guzman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)