Active NPI
Gerard Michael Parisi, DPM
- Podiatrist
- Cedar Grove, NJ
National Provider Identifier
1689743585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25 MD00123100
- Practice address
- 6 Pompton Ave
Ste 25
Cedar Grove, NJ 07009-2042 - Phone
- (973) 239-1307
- Fax
- (973) 239-5727
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25 MD00123100 | NJ | Primary |
Addresses
Primary practice location
6 Pompton Ave
Ste 25
Cedar Grove, NJ 07009-2042
Mailing address
6 Pompton Ave
Ste 25
Cedar Grove, NJ 07009-2042
Phone (973) 239-1307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000247 | NJ | Practitioner - Podiatry | 5991844920 | Practice locations: Cedar Grove, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 MD00123100 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689743585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 POMPTON AVE",
"address_2": "STE 25",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070092042",
"telephone_number": "973-239-1307",
"fax_number": "973-239-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 POMPTON AVE",
"address_2": "STE 25",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070092042",
"telephone_number": "973-239-1307",
"fax_number": "973-239-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISI",
"first_name": "GERARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25 MD00123100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.