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MRS. DANIELLE ALBERTE GUSTAMA NURSE PRACTITIONER
NPI 1689190969
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since August 17, 2017PECOS Enrolled
45 E 81ST ST, NEW YORK, NY 10028(212) 737-9774 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2019, Jun 16, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Mrs. Danielle Alberte Gustama Nurse Practitioner NPPES

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

MRS. DANIELLE ALBERTE GUSTAMA NURSE PRACTITIONER (NPI 1689190969) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402807) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689190969
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DANIELLE ALBERTE GUSTAMACredential: NURSE PRACTITIONER
Location Address45 E 81ST STNew York, NY 10028-0263
Mailing Address13152 232nd StLaurelton, NY 11413-1836 · (646) 377-0096
Phone(212) 737-9774
Sole ProprietorYes
Enumeration DateAugust 17, 2017
Last NPPES UpdateNovember 22, 20193 updates tracked since enumeration
✔ NPI 1689190969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402807
Also ListedRegistered NurseTaxonomy 163W00000X · License 545039 (NY)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307698 (NY)
45 E 81ST ST, New York, NY 10028
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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)

Mrs. Danielle Alberte Gustama Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 3

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

DANA ROSENBLUTH M.S., CCC-SLP
Speech-Language Pathologist
45 E 81ST ST
NEW YORK, NY 10028
New York County (212) 737-9774
ELIZABETH FALLON M.A. CCC-SLP
Speech-Language Pathologist
45 E 81ST ST
NEW YORK, NY 10028
New York County (212) 737-9774
MELISSA MCDERMOTT
Speech-Language Pathologist
45 E 81ST ST
NEW YORK, NY 10028
New York County (212) 737-9774

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 Danielle Gustama's NPI number?

The NPI number for Danielle Gustama is 1689190969. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Danielle Gustama located?

Danielle Gustama practices at 45 E 81st St, New York, NY 10028. The listed phone number is (212) 737-9774.

What is Danielle Gustama's specialty?

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

Is Danielle Gustama enrolled in Medicare?

Yes. Danielle Gustama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Gustama was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.