Organization Active NPI

Daniel Girardi, DPM PC

  • Podiatrist
  • Deer Park, NY
National Provider Identifier
1235310236
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003925 Issued in NY
Legal business name
DANIEL GIRARDI, DPM PC
Practice address
1992 Deer Park Ave
Deer Park, NY 11729-2701
Phone
(631) 667-4444
Fax
(631) 667-0601
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Daniel Girardi, DPMNPI 1720207996
Title
President
Phone
(631) 667-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N003925 NY Primary

Addresses

Primary practice location

1992 Deer Park Ave
Deer Park, NY 11729-2701

Mailing address

1992 Deer Park Ave
Deer Park, NY 11729-2701
Phone (631) 667-4444

Other identifiers 1

IdentifierTypeStateIssuer
00933679MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124000941 NY Part B Supplier - Clinic/Group Practice 2466476833 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Deer Park, NY; Lindenhurst, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Daniel Girardi DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Sunrise Hwy
Ste L24
Lindenhurst, NY 11757
Phone (631) 226-1020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1235310236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292701",
            "telephone_number": "631-667-4444",
            "fax_number": "631-667-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292701",
            "telephone_number": "631-667-4444",
            "fax_number": "631-667-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GIRARDI, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "GIRARDI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-667-4444",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00933679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.