Individual provider Active NPI

Luz Estrada Gonzalez, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1124136643
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004883 Issued in NY
Practice address
9413 Flatlands Avenue
201 E
Brooklyn, NY 11236-3741
Phone
(718) 649-6464
Fax
(718) 649-6426
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004883 NY Primary

Addresses

Primary practice location

9413 Flatlands Avenue
201 E
Brooklyn, NY 11236-3741

Mailing address

6734 Selfridge St
Forest Hills, NY 11375-5739
Phone (917) 767-9004

Other identifiers 2

IdentifierTypeStateIssuer
6200631OtherNYGHI
01514323MedicaidNY

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
I20110322000591 NY Practitioner - Podiatry 6608059068 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cesare Gaspari DPM PLLCGroup PAC ID 6608138615, 2 clinicians

Practice addresses (Care Compare)

235 E 22ND St
Unit 1Ef
New York, NY 10010-4616
Phone (212) 684-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue104
Removal of skin lesions107
Removal of nail tissue396
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004883NYMDSpecialist
N004883NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cesare Gaspari DPM PLLC CurrentSince Jan 1, 2023 Accepting new patients
Cesare Gaspari DPM PLLC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Murray Hill Podiatric Associates LLP Past Accepting new patients

Locations

5316 Roosevelt Ave
Ste 2
Woodside, NY 11377
Phone (212) 684-1900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1124136643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 SELFRIDGE ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755739",
            "telephone_number": "917-767-9004",
            "fax_number": "718-649-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVENUE",
            "address_2": "201 E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363741",
            "telephone_number": "718-649-6464",
            "fax_number": "718-649-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA GONZALEZ",
        "first_name": "LUZ",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6200631",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01514323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.