Active NPI
Gary a Cortese, DPM
- Podiatrist
- Pottsville, PA
National Provider Identifier
1639355415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002264L
- Legal business name
- GARY A CORTESE, DPM
- Practice address
- 1626 Mount Hope Ave
Pottsville, PA 17901-1302 - Phone
- (570) 622-2230
- Fax
- (570) 622-5724
- NPI assigned
- Jan 11, 2008
- Last updated
- Jan 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Cortese
- Title
- Office Manager
- Phone
- (570) 622-2230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002264L | PA | Primary |
Addresses
Primary practice location
1626 Mount Hope Ave
Pottsville, PA 17901-1302
Mailing address
48 Tunnel Rd
Suite 203
Pottsville, PA 17901-3875
Phone (570) 622-0473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400155 | Other | PA | HIGHMARK |
| 0012668300003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
48 Tunnel Rd
Ste 203
Pottsville, PA 17901
Phone (570) 622-5455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Podiatric Medicine Podiatrist
- Pottsville, PA
- NPI 1497759336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1639355415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 TUNNEL RD",
"address_2": "SUITE 203",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013875",
"telephone_number": "570-622-0473",
"fax_number": "570-624-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 MOUNT HOPE AVE",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011302",
"telephone_number": "570-622-2230",
"fax_number": "570-622-5724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A CORTESE, DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-11",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "CORTESE",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "570-622-2230"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002264L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "400155",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012668300003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.