Active NPI
Gregory J Adornetto, D.P.M.
- Foot Surgery Podiatrist
- Hamburg, NY
National Provider Identifier
1013027846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 2891-1
- Practice address
- 179 Buffalo St
Hamburg, NY 14075-5004 - Phone
- (716) 649-2892
- Fax
- (716) 649-2956
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 2891-1 | NY | Primary |
Addresses
Primary practice location
179 Buffalo St
Hamburg, NY 14075-5004
Mailing address
179 Buffalo St
Hamburg, NY 14075-5004
Phone (716) 649-2892
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00897585 | Medicaid | NY | |
| 000500710001 | Other | NY | BLUECROSS/BLUESHIELD |
| 00010250701 | Other | NY | LIFETIME HEALTH |
| 480017299 | Other | NY | RAILROAD MEDICARE |
| 8905893 | Other | NY | INDEPENDENT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2891-1 | NY | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1013027846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 BUFFALO ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755004",
"telephone_number": "716-649-2892",
"fax_number": "716-649-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 BUFFALO ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755004",
"telephone_number": "716-649-2892",
"fax_number": "716-649-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADORNETTO",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "2891-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00897585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "000500710001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFETIME HEALTH",
"identifier": "00010250701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480017299",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8905893",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.