Individual provider Active NPI

Beth Renee Gusenoff, DPM

  • Foot Surgery Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1902956444
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC006330 Issued in PA
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

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02059263MedicaidNY

Other names 1

  • Beth Renee Freeling Former name

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

OrganizationSpecialtyStatusNew patients
Westside Podiatry Group LLC Foot Surgery Current Accepting new patients
Bonnie Tatar Foot Surgery Past Accepting new patients
Zacharia Facaros, DPM, LLC PastSince Aug 1, 2022 Accepting new patients

Locations

2236 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-2290

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.