Individual provider Active NPI

Gary Jay Sherman, DPM.,FACFAS

  • Podiatrist
  • Ny, NY
National Provider Identifier
1033135850
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
002396-01 Issued in NY
Practice address
122 East 42ND St
#2901
Ny, NY 10168-1965
Phone
(212) 697-3293
Fax
(212) 949-7579
NPI assigned
Jul 14, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 002396-01 NY Primary

Addresses

Primary practice location

122 East 42ND St
#2901
Ny, NY 10168-1965

Mailing address

122 E 42ND St
#2901
New York, NY 10168-0002
Phone (212) 697-3293

Other identifiers 1

IdentifierTypeStateIssuer
00433050MedicaidNY

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
I20081008000026 NY Practitioner - Podiatry 5395813059 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002396NYMDBehavioral Analyst
002396-01NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 16, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 16, 2018 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
New York Heart Associates, PC Past Accepting new patients
Amboy Medical Practice PC PastSince Sep 1, 2024 Accepting new patients
Richmond University Medical Center Past Accepting new patients
Les Jay Glubo DPM PC Past Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Fl 6
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322

Networks

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

Interoperability endpoints

  • Direct secure messaging: garysherman@mai.allscriptsdirect.net

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1033135850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 42ND ST",
            "address_2": "#2901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101680002",
            "telephone_number": "212-697-3293",
            "fax_number": "212-949-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 EAST 42ND ST",
            "address_2": "#2901",
            "city": "NY",
            "state": "NY",
            "postal_code": "101681965",
            "telephone_number": "212-697-3293",
            "fax_number": "212-949-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "GARY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM.,FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002396-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00433050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.