Individual provider Active NPI

Daniel Girardi, DPM

  • Podiatrist
  • Deer Park, NY
National Provider Identifier
1720207996
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003925-2 Issued in NY
Practice address
1992 Deer Park Ave
Deer Park, NY 11729-2701
Phone
(631) 667-4444
Fax
(631) 667-0601
NPI assigned
Apr 25, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003925-2 NY Primary

Addresses

Primary practice location

1992 Deer Park Ave
Deer Park, NY 11729-2701

Mailing address

1992 Deer Park Ave
Deer Park, NY 11729-2701
Phone (631) 667-4444

Other identifiers 1

IdentifierTypeStateIssuer
0093679MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000684 NY Practitioner - Podiatry 9234153420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1992 Deer Park Ave
Deer Park, NY 11729-2729
Phone (631) 667-4444

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003925-2NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Girardi, DPM PC Podiatrist Current Accepting new patients
Daniel Girardi DPM PC Podiatrist CurrentSince Jan 1, 2006 Accepting new patients

Locations

1992 Deer Park Ave
Deer Park, NY 11729
Phone (631) 667-0004

150 Sunrise Hwy
Ste L24
Lindenhurst, NY 11757
Phone (631) 226-1020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1720207996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292701",
            "telephone_number": "631-667-4444",
            "fax_number": "631-667-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292701",
            "telephone_number": "631-667-4444",
            "fax_number": "631-667-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARDI",
        "first_name": "DANIEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003925-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.