Active NPI
Richard A Gasalberti, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 176219-1
- Practice address
- 11120 Queens Blvd
Forest Hills, NY 11375-6343 - Phone
- (718) 544-7700
- Fax
- (718) 793-2942
- NPI assigned
- Aug 18, 2006
- Last updated
- Feb 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 176219-1 | NY | Primary |
Addresses
Primary practice location
11120 Queens Blvd
Forest Hills, NY 11375-6343
Mailing address
11120 Queens Blvd
Forest Hills, NY 11375-6343
Phone (718) 544-7700
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000031586 | Other | NY | GHI HMO |
| 5C3909 | Other | NY | HEALTHNET |
| 107338100 | Other | NY | U.S. DEPARTMENT OF LABOR |
| 176219-1 | Other | NY | HIP |
| 040426017269 | Other | NY | FIDELIS |
| 0009261 | Other | NY | GHI PPO |
| 01109764 | Medicaid | NY | |
| 0117708 | Other | NY | AETNA HMO |
| 02F711 | Other | NY | EMPIRE BCBS OF NY |
| 176219-4 | Other | NY | WORKERS COMP |
| 4258501 | Other | NY | AETNA PPO |
| DS420 | Other | NY | OXFORD |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11510 Queens Blvd
Apt 1L
Forest Hills, NY 11375-7015
Phone (718) 544-7700
5629 Metropolitan Ave
Ridgewood, NY 11385-1975
Phone (718) 418-0300
7136 110TH St
Apt 1L
Forest Hills, NY 11375-4860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176219-1 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Richard a Gasalberti M D Sports Medicine & Rehabilitation P C | Pain Medicine | Current | Accepting new patients |
| Motion Care Physical Therapy | Current | Accepting new patients | |
| MK Healthcare Medical PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Boro Medical, P.C. | Past | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
11510 Queens Blvd
Forest Hills, NY 11375
Phone (718) 520-0808
11510 Queens Blvd
Apt 1L
Forest Hills, NY 11375
Phone (718) 544-7700
5629 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 418-0300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rig9042@direct.nyp.org
Organizations & group practices 11
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.
-
- Specialist
- Ridgewood, NY
- NPI 1316426299
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Forest Hills, NY
- NPI 1487809232
-
dba Nassau Department of Psychiatry and Psychology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
dba Sports Medicine & Rehabilitation
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Bronx, NY
- NPI 1073298154
Pain Medicine
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
-
- Health Service Clinic/Center
- Forest Hills, NY
- NPI 1710290945
-
dba Motion Care Phyiscal Therapy
- Physical Therapist
- Freeport, NY
- NPI 1104507094
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1003832098
-
dba NUMC Department of Family Medicine, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- Surgical Physician Assistant
- Bronx, NY
- NPI 1528086584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1043324759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756343",
"telephone_number": "718-544-7700",
"fax_number": "718-793-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756343",
"telephone_number": "718-544-7700",
"fax_number": "718-793-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASALBERTI",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "176219-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000031586",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "5C3909",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPARTMENT OF LABOR",
"identifier": "107338100",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "176219-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426017269",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0009261",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01109764",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0117708",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS OF NY",
"identifier": "02F711",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "176219-4",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4258501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS420",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.