NPIMap

Individual provider Active NPI

Gerald Gennaro Dimaso, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1477526531
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170623 Issued in NY
Practice address
68 Seguine Ave
Staten Island, NY 10309-3723
Phone
(718) 356-6500
Fax
(718) 356-0348
NPI assigned
Feb 9, 2006
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000060 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2466621784 Reassigns benefits to 1 organization
I20161206000741 NJ Practitioner - Internal Medicine 2466621784 Reassigns benefits to 1 organization

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
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jul 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince May 23, 2017 Accepting new patients
Physicians of University Hospital, 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

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

68 Seguine Ave
Staten Island, NY 10309
Phone (718) 356-6500

Networks

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

Interoperability endpoints

  • Direct secure messaging: gdimaso@upg.ssdirect.aprima.com
  • Direct secure messaging: gdimaso66713@northwell.direct-ci.com
  • Direct secure messaging: geralddimaso@mas.allscriptsdirect.net
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.