MARY GUILLOT M.D.
NPI 1922392067
Pediatrics - Adolescent Medicine in New York, NY

Q: What is Mary Guillot's NPI number?

The NPI number for Mary Guillot is 1922392067. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Mary Guillot's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Guillot was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2011PECOS Enrolled

312 E 94TH ST, NEW YORK, NY 10128(212) 423-3000 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Guillot M.d. NPPES

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

MARY GUILLOT M.D. (NPI 1922392067) is an individual adolescent medicine provider in New York, New York, licensed in New York (300454) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922392067

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameMARY GUILLOTCredential: M.D.

Location Address312 E 94TH STNew York, NY 10128-5604

Mailing Address312 E 94th StNew York, NY 10128-5604 · (212) 423-3000

Phone(212) 423-3000

Sole ProprietorNo

Enumeration DateJune 7, 2011

Last NPPES UpdateMay 27, 2021

NPPES CertifiedMay 27, 2021

✔ NPI 1922392067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 300454

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

312 E 94TH ST, New York, NY 10128

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Secondary Practice Locations 2

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-1000

Location 2999 N 92nd St Ste 460Wauwatosa, WI 53226 · Phone (414) 266-5636

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Guillot M.d. 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.