NPIMap

Individual provider Active NPI

Gerard J Furst, DPM

  • Podiatrist
  • East Setauket, NY
National Provider Identifier
1275623456
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N2792 Issued in NY
Practice address
4 Technology Dr
Suite 110
East Setauket, NY 11733-4047
Phone
(631) 331-8400
Fax
(631) 331-8455
NPI assigned
Oct 16, 2006
Last updated
Sep 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N2792 NY Primary

Addresses

Primary practice location

4 Technology Dr
Suite 110
East Setauket, NY 11733-4047

Mailing address

4 Technology Dr
Suite 110
East Setauket, NY 11733-4047
Phone (631) 331-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000319 NY Practitioner - PodiatryPractitioner - General Surgery 0749356004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: General Surgery
Education
Temple University School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John T Mather Memorial HospitalGroup PAC ID 1254237753, shared by 6 NPIs, 176 clinicians

Practice addresses (Care Compare)

5225-53 Route 347
Building 12
Port Jefferson Station, NY 11777-2054
Phone (631) 474-4590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N2792NYMDPodiatrist
002792NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest L Isaacson DPM PC Podiatrist CurrentSince Feb 1, 2020 Accepting new patients
John T Mather Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Gerard Furst and Marjorie Ravitz DPM PC Podiatrist Past Accepting new patients

Locations

4 Technology Dr
Ste 110
East Setauket, NY 11733
Phone (212) 420-6002

30 Park Ave
New York, NY 10016
Phone (212) 420-6002

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

5225 Route 347
Ste 7
Port Jefferson Station, NY 11776
Phone (631) 331-8400

5225 Route 347
Ste 41
Port Jefferson Station, NY 11776

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1275623456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 110",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334047",
            "telephone_number": "631-331-8400",
            "fax_number": "631-331-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 110",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334047",
            "telephone_number": "631-331-8400",
            "fax_number": "631-331-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURST",
        "first_name": "GERARD",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.