Joseph Gervasio, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

NOO3169-1 Issued in NY

Practice address

838 N Broadway Unit B
Massapequa, NY 11758-2451

Phone

(516) 799-0550

Fax

(516) 799-0562

NPI assigned

Oct 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gervasio and Marchese LLPGroup PAC ID 8325219405, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gervasio & Marchese LLP

  • Foot & Ankle Surgery Podiatrist
  • Massapequa Park, NY
  • NPI 1366698854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1710974001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 N BROADWAY UNIT B",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582451",
            "telephone_number": "516-799-0550",
            "fax_number": "516-799-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 N BROADWAY UNIT B",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582451",
            "telephone_number": "516-799-0550",
            "fax_number": "516-799-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASIO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-01",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NOO3169-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10647)
• Gabrielle Gentz
• Anthony L Geraci, DDS
• Nicole Germano, DO
• Steven Michael Gervasio, DC
• Kendra Marie Getaw
• Kristi Geyer
• Andrea E Giliberti, MA ED.
• Kim A. Gill

• Foot & Ankle Surgery Podiatrist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.

Verify at the official NPI Registry.