Individual provider Active NPI

Cesare Gaspari, D.P.M

  • Podiatrist
  • New York, NY
National Provider Identifier
1477921328
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003736-1 Issued in NY
Practice address
235 E 22ND St Unit 1Ef
New York, NY 10010-4616
Phone
(212) 684-1900
Fax
(212) 684-6273
NPI assigned
Sep 9, 2015
Reactivated
Jan 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N003736-1 NY
Foot Surgery Podiatrist 213ES0131X N003736-1 NY
Podiatrist 213E00000X N003736-1 NY Primary

Addresses

Primary practice location

235 E 22ND St Unit 1Ef
New York, NY 10010-4616

Mailing address

235 E 22ND St Unit 1Ef
New York, NY 10010-4616
Phone (212) 684-1900

Other identifiers 1

IdentifierTypeStateIssuer
7773450002OtherNYDME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180404000088 NY Practitioner - Podiatry 8729340708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003736-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cesare Gaspari DPM PLLC Podiatrist CurrentSince Feb 1, 2018 Accepting new patients
Cesare Gaspari DPM PLLC CurrentSince Jul 31, 2017 Accepting new patients

Locations

5316 Roosevelt Ave
Ste 2
Woodside, NY 11377
Phone (212) 684-1900

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1477921328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 22ND ST UNIT 1EF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104616",
            "telephone_number": "212-684-1900",
            "fax_number": "212-684-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 22ND ST UNIT 1EF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104616",
            "telephone_number": "212-684-1900",
            "fax_number": "212-684-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARI",
        "first_name": "CESARE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "deactivation_date": "2015-12-02",
        "reactivation_date": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003736-1",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003736-1",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003736-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7773450002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.