Active NPI
Annie I Gines, DPM
- Podiatrist
- Albany, NY
National Provider Identifier
1124085402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- NY002852
- Practice address
- 1692 Central Ave
Albany, NY 12205 - Phone
- (518) 869-5799
- Fax
- (518) 862-1489
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NY002852 | NY | Primary |
| Podiatrist | 213E00000X | FLP00002434 | FL |
Addresses
Primary practice location
1692 Central Ave
Albany, NY 12205
Mailing address
1692 Central Ave
Albany, NY 12205
Phone (518) 869-5799
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P32442 | Other | BCBS | |
| 10000761 | Other | CDPHP | |
| 00558961 | Medicaid | NY | |
| 13722 | Other | GHI HMO | |
| 480011429 | Other | RAILROAD MEDICARE | |
| 8999992 | Other | GHI PPO | |
| 956200 | Other | MVP | |
| 000405662003 | Other | BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLP00002434 | FL | MD | Podiatrist |
| NY002852 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1124085402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-5799",
"fax_number": "518-862-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1692 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-5799",
"fax_number": "518-862-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINES",
"first_name": "ANNIE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "NY002852",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "FLP00002434",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P32442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000761",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00558961",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "13722",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480011429",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "8999992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "956200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "000405662003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.