Active NPI
Christopher J Ferguson, DPM
- Foot & Ankle Surgery Podiatrist
- Levittown, NY
National Provider Identifier
1093730194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N005810
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7769451 | Other | NY | AETNA |
| MAGNACARE | Other | NY | 030474207 |
| 02413629 | Medicaid | NY | |
| 030474207 | Other | NY | HORIZON HEALTHCARE |
| 3C5966 | Other | NY | HEALTHNET |
| P2724913 | Other | NY | OXFORD |
| 1400232 | Other | NY | GHI |
| 2853553-003 | Other | NY | CIGNA |
| 2325593 | Other | NY | UNITED 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 804-9038
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 133 |
| Removal or shaving of skin growth | 65 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005810 | NY | MD | Mental Health Counselor |
| N005810 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance Berlin DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Mark Gasparini, D.P.M. P.C. | Current | Accepting new patients | |
| Mauro Gasparini, M.D., P.C. | Past | 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
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Massapequa, NY
- NPI 1588728687
-
- Internal Medicine Physician
- Massapequa, NY
- NPI 1144376880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.