Active NPI
Joseph Barry Gimbel, DPM
- Primary Podiatric Medicine Podiatrist
- Arlington, MA
National Provider Identifier
1265475339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1394
- Practice address
- 22 Mill St
Suite 307
Arlington, MA 02476-4784 - Phone
- (781) 641-0107
- Fax
- (781) 641-1020
- NPI assigned
- Jun 14, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1394 | MA | Primary |
| Radiology Podiatrist | 213ER0200X | 1394 | MA | |
| Foot Surgery Podiatrist | 213ES0131X | 1394 | MA |
Addresses
Primary practice location
22 Mill St
Suite 307
Arlington, MA 02476-4784
Mailing address
22 Mill St
Suite 307
Arlington, MA 02476-4784
Phone (781) 641-0107
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y70536 | Other | MA | BCBS - INDIVIDUAL |
| FALLON | Other | MA | 39212 |
| 0035708 | Other | MA | NEIGHBORHOOD - INDIVIDUAL |
| 0485872 | Other | MA | CIGNA |
| 0334863 | Medicaid | MA | |
| 1196765 | Other | MA | AETNA |
| 33700 | Other | MA | HPHC 1ST SENIORITY - IND. |
| 706345 | Other | MA | TUFTS - INDIVIDUAL |
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 |
|---|---|---|---|
| 1394 | MA | MD | Radiology Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1265475339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 307",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-641-0107",
"fax_number": "781-641-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 307",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-641-0107",
"fax_number": "781-641-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIMBEL",
"first_name": "JOSEPH",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MA",
"license": "1394",
"primary": true
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "MA",
"license": "1394",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MA",
"license": "1394",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - INDIVIDUAL",
"identifier": "Y70536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "39212",
"identifier": "FALLON",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD - INDIVIDUAL",
"identifier": "0035708",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0485872",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334863",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1196765",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC 1ST SENIORITY - IND.",
"identifier": "33700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS - INDIVIDUAL",
"identifier": "706345",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.