Active NPI
G Michael Gublo, CPO
- Prosthetist
- Rochester, NY
National Provider Identifier
1083871669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1401 Stone Rd
Suite 201B
Rochester, NY 14615-1537 - Phone
- (585) 663-5860
- Fax
- (585) 368-9274
- NPI assigned
- May 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1401 Stone Rd
Suite 201B
Rochester, NY 14615-1537
Mailing address
42 Morning Glory LN
Rochester, NY 14626-4729
Phone (585) 663-5860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Prosthetic Design LLC | Orthotist | Current | Accepting new patients |
Locations
1401 Stone Rd
Ste 201B
Rochester, NY 14615
Phone (585) 663-5860
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1083871669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MORNING GLORY LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264729",
"telephone_number": "585-663-5860",
"fax_number": "585-368-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 STONE RD",
"address_2": "SUITE 201B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146151537",
"telephone_number": "585-663-5860",
"fax_number": "585-368-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBLO",
"first_name": "G MICHAEL",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.