Active NPI
Beth Renee Gusenoff, DPM
- Foot Surgery Podiatrist
- Pittsburgh, PA
National Provider Identifier
1902956444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC006330
- Practice address
- 5701 Centre Ave
Suite L1
Pittsburgh, PA 15206-3744 - Phone
- (412) 361-3668
- Fax
- (412) 361-4207
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 005650 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | SC006330 | PA | Primary |
Addresses
Primary practice location
5701 Centre Ave
Suite L1
Pittsburgh, PA 15206-3744
Mailing address
5701 Centre Ave
Suite L1
Pittsburgh, PA 15206-3744
Phone (412) 361-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02059263 | Medicaid | NY |
Other names 1
- Beth Renee Freeling
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Podiatry Group LLC | Foot Surgery | Current | Accepting new patients |
| Bonnie Tatar | Foot Surgery | Past | Accepting new patients |
| Zacharia Facaros, DPM, LLC | Past | Accepting new patients |
Locations
2236 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-2290
Interoperability endpoints
- beth.r.gusenoff@upmcdirect.com
Organizations & group practices 3
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.
-
- Foot Surgery Podiatrist
- Rochester, NY
- NPI 1427108992
-
- Foot & Ankle Surgery Podiatrist
- Pittsburgh, PA
- NPI 1649711235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1902956444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 CENTRE AVE",
"address_2": "SUITE L1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063744",
"telephone_number": "412-361-3668",
"fax_number": "412-361-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CENTRE AVE",
"address_2": "SUITE L1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063744",
"telephone_number": "412-361-3668",
"fax_number": "412-361-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSENOFF",
"first_name": "BETH",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "005650",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC006330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02059263",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "FREELING",
"middle_name": "RENEE",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.