Individual provider Active NPI

Jeffrey Gerber, D.P.M., P.C.

  • Podiatrist
  • Syosset, NY
National Provider Identifier
1245246396
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002849 Issued in NY
Practice address
87 Cold Spring Rd
Syosset, NY 11791-3150
Phone
(516) 921-5949
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N002849 NY Primary

Addresses

Primary practice location

87 Cold Spring Rd
Syosset, NY 11791-3150

Mailing address

8 Herrick Ave
Dix Hills, NY 11746-6716
Phone (516) 921-5949

Other identifiers 12

IdentifierTypeStateIssuer
20-0116141OtherNYHEALTHNET
36583POtherNYHIP
P31881OtherNYBLUE CROSS/ BLUE SHIELD
D02127OtherNYOXFORD HEALTH PLANS
20-0116141OtherNY1199 NATIONAL BENEFIT PL.
20-0116141OtherNYUHC/EMPIRE
480021883OtherNYRAILROAD MEDICARE
6299016OtherNYGHI
00405041MedicaidNY
S540051OtherNYSUFFOLK HEALTH
25152OtherNYVYTRA
20-0116141OtherNYAETNA

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
I20040210001030 NY Practitioner - Podiatry 5496649535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Herrick Ave
Dix Hills, NY 11746-6716
Phone (631) 948-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N002849NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Gerber D.P.M., P.C. Podiatrist CurrentSince Feb 8, 1988 Accepting new patients
Syosset Physical Therapy and Rehabilitation, PC Past Accepting new patients

Locations

87 Cold Spring Rd
Syosset, NY 11791
Phone (516) 822-2541

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1245246396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HERRICK AVE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466716",
            "telephone_number": "516-921-5949",
            "fax_number": "516-921-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 COLD SPRING RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913150",
            "telephone_number": "516-921-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "JEFFREY",
        "credential": "D.P.M., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "20-0116141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "36583P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "P31881",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "D02127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NATIONAL BENEFIT PL.",
            "identifier": "20-0116141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/EMPIRE",
            "identifier": "20-0116141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480021883",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6299016",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUFFOLK HEALTH",
            "identifier": "S540051",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "25152",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "20-0116141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.