Individual provider Active NPI

George Pace, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1508923996
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N003966 Issued in NY
Practice address
347 5TH Ave
1110
New York, NY 10016-5010
Phone
(212) 629-5090
Fax
(212) 629-5118
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N003966 NY Primary

Addresses

Primary practice location

347 5TH Ave
1110
New York, NY 10016-5010

Mailing address

347 5TH Ave
1110
New York, NY 10016-5010
Phone (212) 629-5090

Other identifiers 4

IdentifierTypeStateIssuer
36808POtherNYHIP
P41053OtherNYBC BS
1C0178OtherNYHEALTHNET
NS772OtherNYOXFORD

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
I20120204000008 NY Practitioner - Podiatry 8426161670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve Menna DPM PCGroup PAC ID 3375434723, 2 clinicians

Practice addresses (Care Compare)

133 Smith St
Brooklyn, NY 11201-6204
Phone (718) 330-1117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue127
Removal or shaving of skin growth101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003966NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Menna DPM PC Foot & Ankle Surgery CurrentSince Nov 28, 2011 Accepting new patients

Locations

133 Smith St
Brooklyn, NY 11201
Phone (718) 330-1117

347 5th Ave
Rm 1110
New York, NY 10016
Phone (212) 629-5090

52 Duane St
New York, NY 10007
Phone (646) 680-1595

Networks

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

Organizations & group practices 1

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1508923996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE",
            "address_2": "1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "212-629-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE",
            "address_2": "1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "212-629-5090",
            "fax_number": "212-629-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "36808P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "P41053",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C0178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.