Gianni Persich, D.P.M.
Individual provider Active NPI Foot Surgery Podiatrist · Astoria, NY
NPI 1477570372 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1477570372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- N004789 (NY)
- Practice address
- 2856 41St St
Suite2A
Astoria, NY 11103-3302 - Phone
- (718) 777-0360
- Fax
- (718) 777-3180
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2856 A 41St St
2A
Astoria, NY 11103-3301
Phone (718) 777-0360
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719001232 | NY | Practitioner - Podiatry | 9830178177 | Practice locations: Astoria, NY |
| I20241111003846 | FL | Practitioner - Podiatry | 9830178177 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004789 | NY | MD | Foot Surgery Podiatrist |
Practice roles (8 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Foot & Ankle LLC | Podiatrist | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| All County Podiatry Associates, P.C. | Podiatrist | Past | Accepting new patients |
| Northside Medical Care LLP | Past |
Accepting new patients | |
| Boro Medical, P.C. | Podiatrist | Past | Accepting new patients |
| Gianni Persich DPM | Past |
Accepting new patients | |
| Boro Medical, P.C. | Podiatrist | Past | Accepting new patients |
| All County Podiatry Associates PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- giannipersich@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004789 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N004789 | NY | Yes |
Addresses
Primary practice location
2856 41St St
Suite2A
Astoria, NY 11103-3302
Mailing address
2856A 41St St
Astoria, NY 11103-3301
Phone (718) 777-0360
Other practice location 1
11020 RCA Center Dr Ste 2004
Palm Beach Gardens, FL 33410-4277
Phone (561) 676-3611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01360874 | Medicaid | NY |
Other providers in Astoria, NY
- Kathy Perez
- Sandra M Perez
- Jesubielin Custodio Peronilla
- Yakov Perper
- Amy Sarika Persaud
- Samarauh Person
- Natalia Pertuzyustes
- Shohan Pervaze
- Peter Condax, M.D. PC
- Peter Evdos, MD, PC
All providers in Astoria, NY · Foot Surgery Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.