Gerald West, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

22284 Issued in NJ

Practice address

505 Chestnut Street
Roselle Park, NJ 07204

Phone

(908) 241-0200

Fax

(908) 241-1615

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwest684267@nychhc.direct-ci.com

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

• West Scharf Conte Bastianelli PA

  • Facial Plastic Surgery Physician
  • Roselle Park, NJ
  • NPI 1972549780
  Medicare reassignment NPD
• Lawrence Gordon MD PLLC

  • Otolaryngology Physician
  • Goshen, NY
  • NPI 1841490067
  Medicare reassignment NPD
• Fidelity Hearing Health, LLC

  • Audiologist-Hearing Aid Fitter
  • Summit, NJ
  • NPI 1750546842
  NPD (past)
• A Merryland Operating LLC

  • Adolescent Medicine (Family Medicine) Physician
  • Brooklyn, NY
  • NPI 1972848307
  NPD (past)
• Mermaid Operating Co, LLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053379362
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1447205067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041918",
            "telephone_number": "908-241-0200",
            "fax_number": "908-241-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CHESTNUT STREET",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "07204",
            "telephone_number": "908-241-0200",
            "fax_number": "908-241-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "22284",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "22284",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "236854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "25659",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0729169013",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Velickovic, MD
• Julie Rose Latorre Villabroza, PT, DPT
• Vision Healers, LLC
• Julienne Antionette Walker, O.D.
• West Scharf Conte Bastianelli PA
• Valentina Yarovaya, M.S

• Otolaryngology Physician in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.