Gerald Dimaso MDPC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

170623 Issued in NY

Legal business name

GERALD DIMASO MDPC

Practice address

68 Seguine Ave
Staten Island, NY 10309-3723

Phone

(718) 356-6500

Fax

(718) 356-0348

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Gennaro Dimaso, MD

Title

President

Phone

(718) 356-6500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1760777486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SEGUINE AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "718-356-6500",
            "fax_number": "718-356-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093723",
            "telephone_number": "718-356-6500",
            "fax_number": "718-356-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD DIMASO MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "DIMASO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "GENNARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-356-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "170623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Francis Gerace, M.A.
• Jessica Lauren Gerace, M.S. CCC-SLP, TSSLD
• Michael Anthony Gerace, M.S.ED.
• Jessica Geraci, LMSW
• Natalia Geraghty, FNP
• Donna M Gerardi, LCSW
• Kenneth Alan Gerber, LCSW
• Christina Marie Gerbino, FNP
• Marina Gerges, PA
• Billy N Geris, MD

• Primary Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.