Individual provider Active NPI

Mark C Gasparini, DPM

  • Podiatrist
  • Massapequa, NY
National Provider Identifier
1013000405
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0061141 Issued in NY
Practice address
119 New York Ave
Massapequa, NY 11758-4601
Phone
(516) 804-9038
Fax
(516) 799-2595
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0061141 NY Primary

Addresses

Primary practice location

119 New York Ave
Massapequa, NY 11758-4601

Mailing address

119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 804-9038

Other identifiers 1

IdentifierTypeStateIssuer
02744232MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000776 NY Practitioner - Podiatry 8527081405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Mark Gasparini, D.P.M. P.C.Group PAC ID 4789762949, 3 clinicians

Practice addresses (Care Compare)

119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 804-9038

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue195
Removal of skin lesions1-10
Removal of nail tissue5770
Removal or shaving of skin growth2915
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006114NYMDAcupuncturist
N0061141NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Gasparini, D.P.M. P.C. CurrentSince Jun 1, 2006 Accepting new patients
Mauro Gasparini, M.D., P.C. Past Accepting new patients

Locations

5515 Little Neck Pkwy
Little Neck, NY 11362
Phone (516) 625-4448

119 New York Ave
Massapequa, NY 11758
Phone (516) 799-2555

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10566/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1013000405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-804-9038",
            "fax_number": "516-799-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-804-9038",
            "fax_number": "516-799-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARINI",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0061141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02744232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.