Active NPI
David N Nussbaum, DPM
- Podiatrist
- Catskill, NY
National Provider Identifier
1821096017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003109-1
- Practice address
- 35 Five Mile Woods Rd
Catskill, NY 12414-5913 - Phone
- (518) 943-6800
- NPI assigned
- Jul 12, 2005
- 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 | N003109-1 | NY | Primary |
Addresses
Primary practice location
35 Five Mile Woods Rd
Catskill, NY 12414-5913
Mailing address
6-15 15TH St
Fair Lawn, NJ 07410-1603
Phone (201) 791-7991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL 1109 | Other | NY | PALMETTO GBA-RAILROAD MED |
| 00580612 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003109-1 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients | |
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1821096017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6-15 15TH ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101603",
"telephone_number": "201-791-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 FIVE MILE WOODS RD",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124145913",
"telephone_number": "518-943-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSBAUM",
"first_name": "DAVID",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003109-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD MED",
"identifier": "CL 1109",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00580612",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.