Individual provider Active NPI

Gary L. Garbus, D.P.M.

  • Foot Surgery Podiatrist
  • Spring Valley, NY
National Provider Identifier
1093810756
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N3735 Issued in NY
Practice address
20 S Main St
Spring Valley, NY 10977-4913
Phone
(845) 356-1534
Fax
(845) 356-3970
NPI assigned
Sep 14, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N3735 NY Primary

Addresses

Primary practice location

20 S Main St
Spring Valley, NY 10977-4913

Mailing address

20 S Main St
Spring Valley, NY 10977-4913
Phone (845) 356-1534

Other identifiers 1

IdentifierTypeStateIssuer
01062573MedicaidNY

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
I20101111000323 NY Practitioner - Podiatry 0749302230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N3735NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Physician Services PC Past Accepting new patients

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, 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1093810756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774913",
            "telephone_number": "845-356-1534",
            "fax_number": "845-356-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774913",
            "telephone_number": "845-356-1534",
            "fax_number": "845-356-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBUS",
        "first_name": "GARY",
        "middle_name": "L.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N3735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01062573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.