Individual provider Active NPI

Christopher J Ferguson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Levittown, NY
National Provider Identifier
1093730194
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005810 Issued in NY
Practice address
2900 Hempstead Tpke
Suite 103
Levittown, NY 11756-1404
Phone
(516) 579-2800
Fax
(516) 520-9037
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005810 NY Primary

Addresses

Primary practice location

2900 Hempstead Tpke
Suite 103
Levittown, NY 11756-1404

Mailing address

2900 Hempstead Tpke
Suite 103
Levittown, NY 11756-1404
Phone (516) 579-2800

Other identifiers 9

IdentifierTypeStateIssuer
7769451OtherNYAETNA
MAGNACAREOtherNY030474207
02413629MedicaidNY
030474207OtherNYHORIZON HEALTHCARE
3C5966OtherNYHEALTHNET
P2724913OtherNYOXFORD
1400232OtherNYGHI
2853553-003OtherNYCIGNA
2325593OtherNYUNITED HEALTHCARE

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
I20040408001611 NY Practitioner - Podiatry 4789678186 Reassigns benefits to 2 organizations
Practice locations: New York, NY; Levittown, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Mark Gasparini, D.P.M. P.C.Group PAC ID 4789762949, 3 clinicians

Practice addresses (Care Compare)

119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 804-9038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue133
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005810NYMDMental Health Counselor
N005810NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lance Berlin DPM PC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
Mark Gasparini, D.P.M. P.C. CurrentSince Sep 3, 2025 Accepting new patients
Mauro Gasparini, M.D., P.C. PastSince Sep 3, 2025 Accepting new patients

Locations

2330 Union Blvd
Islip, NY 11751
Phone (631) 224-4200

119 New York Ave
Massapequa, NY 11758
Phone (516) 799-2555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10566/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1093730194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HEMPSTEAD TPKE",
            "address_2": "SUITE 103",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561404",
            "telephone_number": "516-579-2800",
            "fax_number": "516-520-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HEMPSTEAD TPKE",
            "address_2": "SUITE 103",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561404",
            "telephone_number": "516-579-2800",
            "fax_number": "516-520-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7769451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "030474207",
            "identifier": "MAGNACARE",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02413629",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE",
            "identifier": "030474207",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C5966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2724913",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1400232",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2853553-003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2325593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.