THELMA DUMAPIT GUZMAN RN, MS, ANP
NPI 1548557291
Nurse Practitioner - Adult Health in Newark, NJ

Active since July 01, 2011PECOS Enrolled
741 BROADWAY, NEWARK, NJ 07104(973) 214-4383(973) 455-0601 Get Directions Write a Review

NPPES record last updated: January 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thelma Dumapit Guzman Rn, Ms, Anp NPPES

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

THELMA DUMAPIT GUZMAN RN, MS, ANP (NPI 1548557291) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ00018600) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548557291
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHELMA DUMAPIT GUZMANCredential: RN, MS, ANP
Location Address741 BROADWAYNewark, NJ 07104-4309
Mailing Address153 Autumn Ridge RdMorris Plains, NJ 07950-1198 · (973) 214-4383
Fax(973) 455-0601
Sole ProprietorNo
Enumeration DateJuly 1, 2011
Last NPPES UpdateJanuary 24, 2021
NPPES CertifiedJanuary 24, 2021
✔ NPI 1548557291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00018600
741 BROADWAY, Newark, NJ 07104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thelma Dumapit Guzman Rn, Ms, Anp 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
741 BROADWAY
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims20 services$1.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Nurse Practitioner (Adult Health)
741 BROADWAY
NEWARK, NJ 07104
Pediatrics (Adolescent Medicine)
741 BROADWAY
NEWARK, NJ 07104
Nurse Practitioner (Pediatrics)
741 BROADWAY
NEWARK, NJ 07104
Nurse Practitioner (Family)
741 BROADWAY
NEWARK, NJ 07104
Advanced Practice Midwife
741 BROADWAY
NEWARK, NJ 07104
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Nurse Practitioner (Women's Health)
741 BROADWAY
NEWARK, NJ 07104

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 Thelma Guzman's NPI number?

The NPI number for Thelma Guzman is 1548557291. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Thelma Guzman located?

Thelma Guzman practices at 741 Broadway, Newark, NJ 07104. The listed phone number is (973) 214-4383.

What is Thelma Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thelma Guzman enrolled in Medicare?

Yes. Thelma Guzman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thelma Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thelma Guzman reassigns Medicare benefits to Newark Community Health Centers, Inc. (Newark, 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 Thelma Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thelma Guzman was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.