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MICHAEL OZLO GUDLESKI PHYSICIAN ASSISTANT
NPI 1376610337
Physician Assistant - Surgical in New York, NY

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
114 AND AMSTERDAM AVE, ST LUKES HOSPITAL CONTUNUUM HEALTH, NEW YORK, NY 10009(212) 533-4446(212) 523-4598 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Ozlo Gudleski Physician Assistant NPPES

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

MICHAEL OZLO GUDLESKI PHYSICIAN ASSISTANT (NPI 1376610337) is an individual surgical provider in New York, New York, licensed in New York (025171 1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1376610337
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICHAEL OZLO GUDLESKICredential: PHYSICIAN ASSISTANT
Location Address114 AND AMSTERDAM AVE, ST LUKES HOSPITAL CONTUNUUM HEALTHNew York, NY 10009
Mailing Address10 Stuyvesant Oval, Apt 12aNew York, NY 10009-2424 · (212) 674-3536
Phone(212) 533-4446
Fax(212) 523-4598
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376610337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 025171 1
114 AND AMSTERDAM AVE, New York, NY 10009
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Other Names 1

Former Name (1)Michael Robert Gudleski

Other Identifiers 1

Medicare ID-Type Unspecified01773202NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Ozlo Gudleski Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224339643
PECOS Enrollment IDI20250401001223
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.

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 Michael Gudleski's NPI number?

The NPI number for Michael Gudleski is 1376610337. It was assigned to this individual provider in the NPPES registry on November 28, 2006. The provider is also known as Michael Robert Gudleski.

Where is Michael Gudleski located?

Michael Gudleski practices at 114 And Amsterdam Ave St Lukes Hospital Contunuum Health, New York, NY 10009. The listed phone number is (212) 533-4446.

What is Michael Gudleski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Gudleski enrolled in Medicare?

Yes. Michael Gudleski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Gudleski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.