JOSIAH GUITIAN (PA-C) – Physician Assistant, NPI 1104460237

JOSIAH GUITIAN (PA-C) is a healthcare provider. based in Bronx, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 024968 (NY). The NPI Number for JOSIAH GUITIAN (PA-C) is 1104460237

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSIAH GUITIAN (PA-C)
NPI
1104460237
Phone
(718) 589-2440
Address
1065 SOUTHERN BLVD
Enumeration Date
1 November 2019
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Secondary Phone
7185892440
Graduation Year
2020 (6 years ago)
PAC ID
2961813175
Group Practice PAC ID
3173517281
Professional Enrollment ID
I20201119000874
Address ID
NY104592417BR1065XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

13,360 PHYSICIAN ASSISTANT in NY

Provider Addresses for JOSIAH GUITIAN (PA-C)

  • 1065 SOUTHERN BLVD

    BRONX, NY 104592417

    Phone: (718) 589-2440

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Stryker Corporation ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$145
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201119000874IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173517281View full group profile
NameSpecialtyState
Physician AssistantNY
-FL
Registered Dietitian Or Nutrition ProfessionalNY
-NY
Physician AssistantNY
-NY
Internal MedicineNJ
-NY
Clinical Social WorkerNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What NPI should I save for JOSIAH GUITIAN (PA-C)?
Save NPI 1104460237 if you need a stable reference for JOSIAH GUITIAN (PA-C).
Is JOSIAH GUITIAN (PA-C) currently active in the NPI registry?
CMS-published data lists JOSIAH GUITIAN (PA-C) as an active registrant.
What field does JOSIAH GUITIAN (PA-C) work in?
You can think of JOSIAH GUITIAN (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JOSIAH GUITIAN (PA-C)'s primary listing?
We display Bronx, New York because that is what the record indicates for JOSIAH GUITIAN (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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