Individual provider Active NPI

Garret Joseph Garofolo-Gonzalez, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
National Provider Identifier
1710332689
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
319959-01 Issued in NY
Practice address
200 W 13TH St FL 6
New York, NY 10011-7702
Phone
(646) 665-6755
NPI assigned
Apr 28, 2016
Last updated
May 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 319959-01 NY Primary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X DR.0068016 CO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A170881 CA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 W 13TH St FL 6
New York, NY 10011-7702

Mailing address

1101 Stewart Ave Ste 100
Garden City, NY 11530-4833
Phone (516) 536-2800

Other practice location 1

6815 Noble Ave
Van Nuys, CA 91405-3796
Phone (818) 901-6600

Other practice location 2

181 W Meadow Dr Ste 1000
Vail, CO 81657-5889
Phone (970) 479-5782

Other practice location 3

4802 10th Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (111) 111-1111

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL messenger
Other URL Messenger

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428000472 NY Practitioner - Sports Medicine 3173877263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

16 Brentwood Dr
Ithaca, NY 14850-1863
Phone (607) 277-2179

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone (718) 970-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0068016COMDOrthopaedic Foot and Ankle Surgery Physician
319959-01NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Foot and Ankle Surgery CurrentSince May 1, 2023 Accepting new patients
True North Medical Group PC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
True North Medical Group PC Multi-Specialty Past Accepting new patients

Locations

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

8002 Kew Gardens Rd
Ste 100
Kew Gardens, NY 11415

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

444 Merrick Rd
Ste 400
Lynbrook, NY 11563
Phone (516) 256-2102

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: garretgarofolo-gonzalez@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1710332689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304833",
            "telephone_number": "516-536-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 13TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117702",
            "telephone_number": "646-665-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Noble Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053796",
            "country_code": "US",
            "telephone_number": "818-901-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 W Meadow Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575889",
            "country_code": "US",
            "telephone_number": "970-479-5782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4802 10th Avenue",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "111-111-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAROFOLO-GONZALEZ",
        "first_name": "GARRET",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "319959-01",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CO",
            "license": "DR.0068016",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A170881",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "messenger",
            "affiliation": "N",
            "address_1": "181 W Meadow Dr Ste 1000",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Messenger",
            "affiliation": "N",
            "address_1": "200 W 13th St Fl 6",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100117702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.