Active NPI
Gerald Gennaro Dimaso, MD
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170623
- Practice address
- 68 Seguine Ave
Staten Island, NY 10309-3723 - Phone
- (718) 356-6500
- Fax
- (718) 356-0348
- NPI assigned
- Feb 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 170623 | NY | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 170623 | NY |
Addresses
Primary practice location
68 Seguine Ave
Staten Island, NY 10309-3723
Mailing address
39 Dora LN
Holmdel, NJ 07733-1672
Phone (732) 888-1975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01119180 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
213 Main St
Matawan, NJ 07747-3221
Phone (732) 566-2363
68 Seguine Ave
Staten Island, NY 10309-3723
Phone (718) 356-6500
Hospital & facility affiliations
- North Shore Home Care Chha
- VNS of Ny Home Care Chha
- Archcare at Home
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Hackensack Meridian at Home Monmouth County
- Staten Island University Hospital
- Bayshore Medical Center
- Raritan Bay Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170623 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital PC | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Internal Medicine | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
213 Main St
Matawan, NJ 07747
Phone (732) 566-2363
429 Highway 79
Morganville, NJ 07751
436 State Route 79
Ste 11
Morganville, NJ 07751
Phone (732) 263-7970
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
68 Seguine Ave
Staten Island, NY 10309
Phone (718) 356-6500
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- gdimaso66713@northwell.direct-ci.com
- gdimaso@upg.ssdirect.aprima.com
- geralddimaso@mas.allscriptsdirect.net
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
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 and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Internal Medicine
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
Internal Medicine
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Neptune, NJ
- NPI 1528143336
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
-
- Home Health Agency
- New York, NY
- NPI 1528059805
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1477526531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 DORA LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331672",
"telephone_number": "732-888-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 SEGUINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093723",
"telephone_number": "718-356-6500",
"fax_number": "718-356-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMASO",
"first_name": "GERALD",
"middle_name": "GENNARO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "170623",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "170623",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01119180",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.