Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis Miguel Gutierrez

Individual provider Gerontology Nurse Practitioner · NPI 1215799556

Luis Miguel Gutierrez is a Nurse Practitioner in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Griffin Myers Medical PC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

318 Knickerbocker Ave
Brooklyn, NY 11237-3888
Phone: (718) 765-6056
Fax: (347) 803-1874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 E 30th St, Paterson, NJ 07513-1101 — (186) 223-2764

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311655 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ14990800 (NJ)

Record details

NPI number1215799556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing addressPo Box 746087, Atlanta, GA 30374-6087

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Griffin Myers Medical Pc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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