Active NPI
George Pace, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1508923996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N003966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36808P | Other | NY | HIP |
| P41053 | Other | NY | BC BS |
| 1C0178 | Other | NY | HEALTHNET |
| NS772 | Other | NY | OXFORD |
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
Enrollment records 1
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
Practice addresses (Care Compare)
133 Smith St
Brooklyn, NY 11201-6204
Phone (718) 330-1117
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 127 |
| Removal or shaving of skin growth | 101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003966 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steve Menna DPM PC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1295885499
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.