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

Simmi Guzman

Individual provider Peritoneal Dialysis Registered Nurse · NPI 1518793363

Simmi Guzman is a Nurse Practitioner in Stony Brook, New York. Qualified in 2024, 2 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
5

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-1077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F354628-01 (NY)
Peritoneal Dialysis Registered Nurse Taxonomy 163WD1100X · Licence 693836-01 (NY)
Hemodialysis Registered Nurse Taxonomy 163WH0500X · Licence 693836-01 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 693836-01 (NY)
Neonatal Intensive Care Registered Nurse Taxonomy 163WN0002X · Licence 693836-01 (NY)

Record details

NPI number1518793363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount