Individual provider Active NPI

Walter James Gaudino, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Levittown, NY
National Provider Identifier
1346218930
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
185629-1 Issued in NY
Practice address
3601 Hempstead Tpke Ste 503
Levittown, NY 11756-1376
Phone
(516) 864-0557
Fax
(516) 864-0559
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 185629-1 NY Primary

Addresses

Primary practice location

3601 Hempstead Tpke Ste 503
Levittown, NY 11756-1376

Mailing address

3601 Hempstead Tpke Ste 503
Levittown, NY 11756-1376
Phone (516) 864-0557

Other identifiers 1

IdentifierTypeStateIssuer
01258511MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000494 NY Practitioner - Physical Medicine and Rehabilitation 8325046519 Reassigns benefits to 2 organizations
Practice locations: Levittown, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

3601 Hempstead Tpke
Suite 503
Levittown, NY 11756-1376
Phone (516) 864-0557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
185629-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 24, 2015 Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 24, 2015 Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1346218930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 503",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-864-0557",
            "fax_number": "516-864-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 503",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-864-0557",
            "fax_number": "516-864-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDINO",
        "first_name": "WALTER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "185629-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.