Active NPI
David Gitlin, DPM
- Foot Surgery Podiatrist
- Bayside, NY
National Provider Identifier
1336258417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N006122
- Practice address
- 32-07 Francis Lewis Blvd
Bayside, NY 11358 - Phone
- (212) 372-0991
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N006122 | NY | Primary |
Addresses
Primary practice location
32-07 Francis Lewis Blvd
Bayside, NY 11358
Mailing address
10011 67TH Rd Apt 508
Forest Hills, NY 11375-2722
Phone (212) 372-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N006122 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 006122 | NY | MD | Acupuncturist |
| N006122 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmfla LLC | Current | Accepting new patients | |
| David Gitlin DPM | Current | Accepting new patients | |
| Seaside Surgery Center, LLC | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Marianna Blokh DPM, P.C. | Past | Accepting new patients | |
| Gitlin LLC | Past | Accepting new patients |
Locations
3940 Radio Rd
Ste 104
Naples, FL 34104
Phone (239) 300-9700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 8
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.
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1952125833
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1346128113
-
- Foot & Ankle Surgery Podiatrist
- Hewlett, NY
- NPI 1518492438
-
- Surgery Physician
- New York, NY
- NPI 1477756898
-
dba Surgery Department of Mount Sinai BI
- Surgery Physician
- New York, NY
- NPI 1104295716
-
- Podiatrist
- Brooklyn, NY
- NPI 1497268411
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Ambulatory Surgical Clinic/Center
- Naples, FL
- NPI 1043605934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1336258417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 67TH RD APT 508",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752722",
"telephone_number": "212-372-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32-07 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11358",
"telephone_number": "212-372-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITLIN",
"first_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N006122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "N006122",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.