Active NPIIndividual providerSole proprietor

Dr. Keith P Guevarra, DO

Internal Medicine, Pulmonary Disease in Newark, New Jersey

NPI Number1699925263
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
February 15, 2022

Keith Poscablo Guevarra is an Internal Medicine, Pulmonary Disease based in Newark, NJ. Keith Poscablo Guevarra practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Keith Poscablo Guevarra is 1699925263 and holds a License No. 247966 (NY). The current practice location address for Keith Poscablo Guevarra is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7908.

Provider Profile Details

NPI Number
1699925263
Provider Name
Keith Poscablo Guevarra
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7908
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
Yes
Provider Enumeration Date
September 19, 2008
Last Update Date
February 15, 2022
Certification Date
February 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7908
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
4 Lackawanna Pl
Passaic, NJ 07055-3507
City
Passaic
State
NJ
Zip
07055-3507
Phone Number
862-571-5966

License Information

License Number (1)
247966
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MB08952500
License State (2)
NJ
License Number (3)
25MB08952500
License State (3)
NJ
Taxonomy (3)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine, Pulmonary Disease providers near Newark, NJ

View all Internal Medicine, Pulmonary Disease providers in Newark →

Frequently Asked Questions

What is the NPI number of Dr. Keith P Guevarra, DO?

The NPI number of Dr. Keith P Guevarra, DO is 1699925263. It was assigned on September 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Keith P Guevarra, DO?

Dr. Keith P Guevarra, DO is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NY under license number 247966.

Where does Dr. Keith P Guevarra, DO practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7908 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699925263 directly on the NPPES registry website.

Browse related providers