Individual provider Active NPI

Richard A Gasalberti, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Forest Hills, NY
National Provider Identifier
1043324759
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
176219-1 Issued in NY
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000031586OtherNYGHI HMO
5C3909OtherNYHEALTHNET
107338100OtherNYU.S. DEPARTMENT OF LABOR
176219-1OtherNYHIP
040426017269OtherNYFIDELIS
0009261OtherNYGHI PPO
01109764MedicaidNY
0117708OtherNYAETNA HMO
02F711OtherNYEMPIRE BCBS OF NY
176219-4OtherNYWORKERS COMP
4258501OtherNYAETNA PPO
DS420OtherNYOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001763 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0840287561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MK Healthcare Medical PCGroup PAC ID 8123371978, 5 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
176219-1NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Jan 2, 2021 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 CurrentSince Mar 18, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 2, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.