Active NPI
Paul Damian Giovinco, DPM
- Radiology Podiatrist
- Ridgewood, NY
National Provider Identifier
1245319771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Podiatrist
- License
- 002603
- Practice address
- 7127 Fresh Pond Rd
Ridgewood, NY 11385-5918 - Phone
- (718) 821-4097
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 002603 | NY | |
| Radiology Podiatrist | 213ER0200X | 002603 | NY | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 002603 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 002603 | NY |
Addresses
Primary practice location
7127 Fresh Pond Rd
Ridgewood, NY 11385-5918
Mailing address
7127 Fresh Pond Rd
Ridgewood, NY 11385-5918
Phone (718) 821-4097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00419470 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2603 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Ocean Care LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Freeport, NY
- NPI 1205811049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245319771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7127 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855918",
"telephone_number": "718-821-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7127 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855918",
"telephone_number": "718-821-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOVINCO",
"first_name": "PAUL",
"middle_name": "DAMIAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "002603",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "NY",
"license": "002603",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": "002603",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "002603",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00419470",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.