Edward S. Gensicki, D.P.M.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

P00369 Issued in CT

Legal business name

EDWARD S. GENSICKI, D.P.M.

Practice address

1812 Dixwell Ave
Hamden, CT 06514-3105

Phone

(203) 287-0336

Fax

(203) 287-0387

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Stanley Gensicki, D.P.M.NPI 1982632634

Title

Owner

Phone

(203) 287-0336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edward Stanley Gensicki, DPM

  • Podiatrist
  • Hamden, CT
  • NPI 1982632634
  NPD Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1255501748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143105",
            "telephone_number": "203-287-0336",
            "fax_number": "203-287-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143105",
            "telephone_number": "203-287-0336",
            "fax_number": "203-287-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. GENSICKI, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GENSICKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-287-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CT",
            "license": "P00369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emonee N Easterling
• Chelsea Elizabeth Eaton
• Ecc Ancillary Services
• Courtney Edgecomb, PT
• Paris Nicole Edmonds
• Sashell Edwards, LMSW
• Kathleen Marie Egan
• Jasmine Eichler
• Stanley Mark Einbinder, DMD
• Uzochukwu Samuel Ekpunobi, PMHNP-BC

• Customized Equipment (DME) in Hamden, CT
• Providers in Hamden, CT by specialty
• Customized Equipment (DME) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.