Gianni Persich, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004789 Issued in NY

Practice address

2856 41St St
Suite2A
Astoria, NY 11103-3302

Phone

(718) 777-0360

Fax

(718) 777-3180

NPI assigned

Jul 16, 2006

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: giannipersich@mai.allscriptsdirect.net

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.

• Signature Foot & Ankle LLC

  • Podiatrist
  • Englewood, NJ
  • NPI 1801729777
  NPD Authorized official
• All County Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Astoria, NY
  • NPI 1083894265
  NPD (past) Authorized official
• All County Podiatry Associates, P.C.

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
  • NPI 1700965332
  NPD (past) Authorized official
• Gianni Persich DPM

  • Foot & Ankle Surgery Podiatrist
  • Astoria, NY
  • NPI 1770747891
  NPD (past) Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584

  Podiatrist

  NPD (past)
• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454
  NPD (past)
• Northside Medical Care LLP

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659493179
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1477570372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856A 41ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033301",
            "telephone_number": "718-777-0360",
            "fax_number": "718-777-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 41ST ST",
            "address_2": "SUITE2A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033302",
            "telephone_number": "718-777-0360",
            "fax_number": "718-777-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11020 RCA Center Dr Ste 2004",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104277",
            "country_code": "US",
            "telephone_number": "561-676-3611",
            "fax_number": "718-777-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSICH",
        "first_name": "GIANNI",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004789",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Perez, CF-SLP
• Sandra M Perez
• Jesubielin Custodio Peronilla, PT
• Yakov Perper, MD
• Amy Sarika Persaud, PSYD
• Samarauh Person
• Natalia Pertuzyustes
• Shohan Pervaze
• Peter Condax, M.D. PC
• Peter Evdos, MD, PC

• Foot Surgery Podiatrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.

Verify at the official NPI Registry.