Active NPI
Cupid C Gascon, MD
- Emergency Medicine Physician
- Oswego, NY
National Provider Identifier
1144204488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 205808-1
- Practice address
- 110 W 6TH St
Oswego, NY 13126-2507 - Phone
- (315) 349-5511
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 205808-1 | NY | Primary |
Addresses
Primary practice location
110 W 6TH St
Oswego, NY 13126-2507
Mailing address
3318 Oak Brook Rd
Baldwinsville, NY 13027-3608
Phone (443) 465-4740
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144204488 | Medicaid | NY | |
| 1144204488 | Other | NY | BCBS NY EXCELLUS |
| 404106200 | Medicaid | MD | |
| 01920805 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205808-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osler Drive Emergency Physcians Associates, P.a. | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Associates of Maryland, P.C. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1740213453
-
dba Odepa PA
- Emergency Medicine Physician
- Towson, MD
- NPI 1568421659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1144204488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 OAK BROOK RD",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130273608",
"telephone_number": "443-465-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262507",
"telephone_number": "315-349-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASCON",
"first_name": "CUPID",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "205808-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144204488",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NY EXCELLUS",
"identifier": "1144204488",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404106200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01920805",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.