Individual provider Active NPI

David Gitlin, DPM

  • Foot Surgery Podiatrist
  • Bayside, NY
National Provider Identifier
1336258417
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006122 Issued in NY
Practice address
32-07 Francis Lewis Blvd
Bayside, NY 11358
Phone
(212) 372-0991
NPI assigned
Aug 30, 2006
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N006122OtherNYLICENSE

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

LicenseStateTypeSpecialty
006122NYMDAcupuncturist
N006122NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpmfla LLC Current Accepting new patients
David Gitlin DPM CurrentSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.