Active NPI
Gary Jay Sherman, DPM.,FACFAS
- Podiatrist
- Ny, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 002396-01
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00433050 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002396 | NY | MD | Behavioral Analyst |
| 002396-01 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Amboy Medical Practice PC | Past | Accepting new patients | |
| New York Heart Associates, PC | Past | Accepting new patients | |
| Amboy Medical Practice PC | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Foot Surgery Podiatrist
- New York, NY
- NPI 1811203581
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1558798546
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.