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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL A DE GUZMAN APN
NPI 1497453682
Nurse Practitioner - Psychiatric/Mental Health in Highland Park, NJ

Active since February 17, 2023PECOS Enrolled
328 DENISON ST, HIGHLAND PARK, NJ 08904(609) 664-0951(205) 636-5898 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, Apr 4, 2023, Feb 17, 2023 (3 updates tracked since 2023).

About Michael A De Guzman Apn NPPES

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

MICHAEL A DE GUZMAN APN (NPI 1497453682) is an individual psychiatric/mental health provider in Highland Park, New Jersey, licensed in New Jersey (26NJ01432600) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497453682
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL A DE GUZMANCredential: APN
Location Address328 DENISON STHighland Park, NJ 08904-2732
Mailing Address328 Denison StHighland Park, NJ 08904-2732 · (609) 664-0951 · Fax (205) 636-5898
Phone(609) 664-0951
Fax(205) 636-5898
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 17, 2023
Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1497453682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01432600
328 DENISON ST, Highland Park, NJ 08904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael A De Guzman Apn 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 ID4880120054
PECOS Enrollment IDI20241211001812
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael De Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
21 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DAVID PRETO
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (908) 764-0591
MS. NYDIA PRETO LCSW
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 565-9010
MRS. JACQULINE DELANE PHILLIPS MSW, LCSW
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 248-7782
DR. DEL SASSO PSY.D.
Psychologist (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 789-3242
MRS. BARBARA PETKOV ED.S
Marriage & Family Therapist
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 565-9010
JENNIFER M. CAMPBELL LCSW
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (908) 368-1351
DONNA DISTEFANO LCSW. LCADC
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 266-5151
MONICA MCGOLDRICK MSW, LMFT
Social Worker (Clinical)
328 DENISON ST
HIGHLAND PARK, NJ 08904
Middlesex County (732) 565-9010

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 De Guzman's NPI number?

The NPI number for Michael De Guzman is 1497453682. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Michael De Guzman located?

Michael De Guzman practices at 328 Denison St, Highland Park, NJ 08904. The listed phone number is (609) 664-0951.

What is Michael De Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael De Guzman enrolled in Medicare?

Yes. Michael De Guzman 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.

Which organization bills Medicare for Michael De Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael De Guzman reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael De Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael De Guzman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michael De Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael De Guzman affiliated with any hospitals?

According to CMS data, Michael De Guzman is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Michael De Guzman was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.