Richard a Gasalberti M D Sports Medicine & Rehabilitation P C

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

176219 Issued in NY

Legal business name

RICHARD A GASALBERTI M D SPORTS MEDICINE & REHABILITATION P C

Practice address

11120 Queens Blvd
Forest Hills, NY 11375-6341

Phone

(718) 544-7700

Fax

(718) 793-2942

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Richard Gasalberti, MDNPI 1043324759

Title

Delegated Official

Phone

(718) 544-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Richard a Gasalberti MD Sports Medicine Rehabilitation PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard a Gasalberti M D Sports Medicine & Rehabilitation P C

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bronx, NY
  • NPI 1073298154
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Gasalberti, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Forest Hills, NY
  • NPI 1043324759
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1487809232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-544-7700",
            "fax_number": "718-793-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-544-7700",
            "fax_number": "718-793-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A GASALBERTI M D SPORTS MEDICINE & REHABILITATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GASALBERTI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "718-544-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "176219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Reynoso
• Wendy Reynoso
• Edvaldo Ribeiro
• Charmaine Ricacho
• Nashira O Rice
• Karen Diana Richards
• Kathy A Richards
• Amanda Lynn Richardson
• Shadrie Richardson
• Shirley Richemond

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.