DR. LUISA GUENA MD
NPI 1972710366
Surgery in Fairfield, NJ
NPI Status: Active since May 17, 2007
Contact Information
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
Phone: (973) 894-1263
Fax: (888) 972-3703
- Individual
- Female
- Surgery
- PECOS Enrolled
About LUISA GUENA
This page provides the complete NPI Profile along with additional information for Luisa Guena, a provider established in Fairfield, New Jersey with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1972710366 assigned on May 2007. The practitioner's primary taxonomy code is 208600000X with license number 25MA04766600 (NJ). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1972710366
- Provider Name
- DR. LUISA GUENA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 695 US HIGHWAY 46 SUITE 400A FAIRFIELD, NJ 07004
- Location Phone
- (973) 894-1263
- Location Fax
- (888) 972-3703
- Mailing Address
- PO BOX 4059 WAYNE, NJ 07474
- Mailing Phone
- (973) 894-1236
- Mailing Fax
- (888) 972-3703
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2007
- Last Update Date
- 04-18-2016
- Code Navigator
A surgeon like Luisa Guena treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA04766600
- License State
- NJ
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 25MA04766600 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 565966ZJ5N | MEDICARE PIN (08) | NJ |
Medicare Participation & PECOS Enrollment Status
Luisa Guena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Repair of groin hernia using an endoscope
Treatment of broken neck of thigh bone with bone implant
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
This service was performed 16 times for 16 patientsThis procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07004 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $79.09
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $19.77
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. LUISA GUENA MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 7 | 1 | 0 | 3 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 14 | 1 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 4 + 1 + 0 + 3 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1972710366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
PAMELA B KOPELOVE MD
Obstetrics & Gynecology
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
BARRY A. COHEN M.D.
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
SWETA G DALSANIA PA-C
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
DR. HASSAN M ELMANSOURY MD
Specialist
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
MR. CARLO OPONT PA-C
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
DR. RAJINDER SHARMA MD
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
DR. MARY F WELSH M.D.
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
MYRA CELESTE LAZZARO PA-C
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
DR. FELIX F NICOLAS M.D.
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
DR. RICKI M HENRY MD
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
MR. PETKO PETKOV MITEV PA-C
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
MR. LUKE R CAREY PAC
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
HONORA VALANE M.D.
Surgery
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
NANCYANN COLE PA-C
Physician Assistant
695 US HIGHWAY 46
FAIRFIELD, NJ
ZIP 07004
LYNN MALANKA RN, RNFA, APN.C
Registered Nurse
(Registered Nurse First Assistant)
695 US HIGHWAY 46
STE 400A
FAIRFIELD, NJ
ZIP 07004
ROMAN MATSOUK PA-C
Physician Assistant
(Surgical)
695 US HIGHWAY 46
SUITE 400A
FAIRFIELD, NJ
ZIP 07004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972710366, enumerated as an "individual" on May 17, 2007.
The provider is located at 695 US HIGHWAY 46 SUITE 400A FAIRFIELD, NJ 07004 and the phone number is (973) 894-1263.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
