Active NPI
Joseph Nasca, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Buffalo, NY
National Provider Identifier
1023170719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N003878-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000500803001 | Other | NY | COMUNITY BLUE |
| 00945377 | Medicaid | NY | |
| 00020074901 | Other | NY | UNIVERA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120118000050 | NY | Practitioner - Podiatry | 9739179789 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003878-1 | NY | MD | Foot 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.