Active NPI
Nicholas Gaeto, DO
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS021734
- Practice address
- 5501 Old York Rd
Paley 4320
Philadelphia, PA 19141-3018 - Phone
- (212) 456-9142
- Fax
- (215) 456-9052
- NPI assigned
- Jun 9, 2020
- Last updated
- Aug 8, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB12017000 | NJ | |
| Internal Medicine Physician | 207R00000X | 321353 | NY | |
| Internal Medicine Physician | 207R00000X | OS021734 | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd
Paley 4320
Philadelphia, PA 19141-3018
Mailing address
5501 Old York Rd
Paley 4320
Philadelphia, PA 19141-3018
Phone (215) 456-9142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630001677 | PA | Order and Referring Only - Internal Medicine | 3577964311 |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB12017000 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Internal Medicine | Current | Accepting new patients |
| Einstein Practice Plan Inc | Internal Medicine | Past | Accepting new patients |
| Albert Einstein Medical Center | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
400 Kelby St
Fl 7
Fort Lee, NJ 07024
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
180 Fort Washington Ave
Fl 2
New York, NY 10032
Phone (212) 305-1900
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5401 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-8220
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500
8556 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 333-3500
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba Einstein Internal Medicine Associates
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1801853288
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- General Acute Care Hospital
- Phila, PA
- NPI 1902805245
-
dba Einstein Northern Division Medical Associates
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1447217872
-
dba Northern Vascular Lab
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1538784178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"address_2": "PALEY 4320",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-9142",
"fax_number": "215-456-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"address_2": "PALEY 4320",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "212-456-9142",
"fax_number": "215-456-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETO",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB12017000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "321353",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS021734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.