Leonard Stuart Gerber, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

65 003356 Issued in NY

Practice address

22 Fairmont Ave
Poughkeepsie, NY 12603-2422

Phone

(845) 454-0630

Fax

(845) 454-0637

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 22

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1194764639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-471-9410",
            "fax_number": "845-471-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032422",
            "telephone_number": "845-454-0630",
            "fax_number": "845-454-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "LEONARD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "65 003356",
            "primary": true
        }
    ],
    "identifiers": [
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        {
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            "issuer": "MVP HEALTHPLAN LEGACY NUMBER",
            "identifier": "547001",
            "state": null
        },
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            "issuer": "CDPHP LEGACY NUMBER",
            "identifier": "10021259",
            "state": null
        },
        {
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            "issuer": "WELLCARE LEGACY NUMBER",
            "identifier": "103301",
            "state": null
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, AETNA US HEALTHCARE LEGACY NUMBER",
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            "state": null
        },
        {
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            "issuer": "UNITED HEALTHCARE LEGACY NUMBER",
            "identifier": "100179375401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAST 5 TIN",
            "identifier": "30061",
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            "issuer": "CLIA IDENTIFIER",
            "identifier": "33D0164140",
            "state": null
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "CCN WORKERS COMP LEGACY NUMBER",
            "identifier": "5102863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ,GHI HMO SELECT LEGACY NUMBER",
            "identifier": "0073856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECORE AETNA HEALTH LEGACY NUMBER",
            "identifier": "4316059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP PIN IDENTIFIER",
            "identifier": "CJ2100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE / CHAMPA/ CHAMPVA LEGACY NUMBER",
            "identifier": "Y023437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY LEGACY NUMBER",
            "identifier": "000405895002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVERNMENT WORKERS COMP LEGACY NUMBER",
            "identifier": "109052400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EMPIRE PLAN UNITED HEALTHCARE LEGACY NUMBER",
            "identifier": "1793754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP LEGACY NUMBER",
            "identifier": "257734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY GROUP LEGACY NUMBER",
            "identifier": "408871001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHCARE LEGACY NUMBER",
            "identifier": "DUS001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LEGACY NUMBER",
            "identifier": "LG0P360320",
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        },
        {
            "code": "05",
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            "identifier": "007552991",
            "state": "NY"
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            "issuer": "PHS LEGACY NUMBER",
            "identifier": "2C3717",
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    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jude George, MD
• Lori George, RN
• Phyllis George, RN, MA, FNP
• Lourdes Georges, LPN
• Mia Geraci
• Elaine Germano, CNM
• Lisa Beth Germano
• Rachel Lynette Germano, FNP-BC
• Sarah Nicole Gervais, PT, DPT
• Prem Chand Ghai, M.D.

• Podiatrist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.