Active NPI
Marc A Gittleman, DPM
- Podiatrist
- Mount Vernon, NY
National Provider Identifier
1639280589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003162
- Practice address
- 12 N 7TH Ave
Mount Vernon, NY 10550-2026 - Phone
- (914) 664-8000
- Fax
- (914) 664-2416
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003162 | NY | Primary |
Addresses
Primary practice location
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Mailing address
32 Sunderland LN
Katonah, NY 10536-3162
Phone (914) 664-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003162 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohen & Garcha Podiatry, LLP | Podiatrist | Past | Accepting new patients |
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.
-
- Podiatrist
- Bronx, NY
- NPI 1134331788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639280589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SUNDERLAND LN",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363162",
"telephone_number": "914-664-8000",
"fax_number": "914-664-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000",
"fax_number": "914-664-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTLEMAN",
"first_name": "MARC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.