GREGORY GUSTAFSON M.D.
NPI 1629077284
Internal Medicine - Interventional Cardiology in Bayside, NY

Active since July 18, 2005
4401 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361(718) 423-3355(718) 423-3721 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Gustafson M.d. NPPES

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

GREGORY GUSTAFSON M.D. (NPI 1629077284) is an individual interventional cardiology provider in Bayside, New York, licensed in New York (138877) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1629077284
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameGREGORY GUSTAFSONCredential: M.D.
Location Address4401 FRANCIS LEWIS BLVDBayside, NY 11361-3002
Mailing Address4401 Francis Lewis BlvdBayside, NY 11361-3002 · (718) 423-3355 · Fax (718) 423-3721
Fax(718) 423-3721
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateMay 3, 2011
NPI 1629077284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NY · 138877
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

4401 FRANCIS LEWIS BLVD, Bayside, NY 11361

Other Identifiers 4

Medicare UPINC06225
Medicaid00827358NY
Medicare ID-Type Unspecified05439Q
Medicare PING400033081NY

Other Providers at the Same Location NPPES 18

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

Internal Medicine
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Podiatrist (Foot Surgery)
4401 FRANCIS LEWIS BLVD, L3-B
BAYSIDE, NY 11361
Internal Medicine (Rheumatology)
4401 FRANCIS LEWIS BLVD, SUITE L2A
BAYSIDE, NY 11361
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Internal Medicine (Cardiovascular Disease)
4401 FRANCIS LEWIS BLVD, SUITE L3A
BAYSIDE, NY 11361
Radiology (Diagnostic Radiology)
4401 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361

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 Gregory Gustafson's NPI number?

The NPI number for Gregory Gustafson is 1629077284. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Gregory Gustafson located?

Gregory Gustafson practices at 4401 Francis Lewis Blvd, Bayside, NY 11361. The listed phone number is (718) 423-3355.

What is Gregory Gustafson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Gregory Gustafson was last updated on May 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.