Individual provider Active NPI

Joseph Nasca, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Buffalo, NY
National Provider Identifier
1023170719
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003878-1 Issued in NY
Practice address
369 Kenmore Ave
Buffalo, NY 14223-2861
Phone
(716) 833-0225
Fax
(716) 833-2793
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N003878-1 NY Primary
Foot Surgery Podiatrist 213ES0131X N003878-1 NY

Addresses

Primary practice location

369 Kenmore Ave
Buffalo, NY 14223-2861

Mailing address

369 Kenmore Ave
Buffalo, NY 14223-2861
Phone (716) 833-0225

Other identifiers 3

IdentifierTypeStateIssuer
000500803001OtherNYCOMUNITY BLUE
00945377MedicaidNY
00020074901OtherNYUNIVERA

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
I20120118000050 NY Practitioner - Podiatry 9739179789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003878-1NYMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1023170719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-833-0225",
            "fax_number": "716-833-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-833-0225",
            "fax_number": "716-833-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASCA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003878-1",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003878-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMUNITY BLUE",
            "identifier": "000500803001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020074901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.