Active NPI
Joseph G Diprima, DPM FAC FAS
- Podiatrist
- Fairport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 003655
- Practice address
- 2828 Baird Rd
Suite B
Fairport, NY 14450 - Phone
- (585) 249-0020
- Fax
- (585) 586-4835
- NPI assigned
- Dec 15, 2006
- Last updated
- Nov 24, 2009
- 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 | 003655 | NY | Primary |
Addresses
Primary practice location
2828 Baird Rd
Suite B
Fairport, NY 14450
Mailing address
2828 Baird Rd
Suite B
Fairport, NY 14450
Phone (585) 249-0020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8077 | Other | NY | BLUE SHIELD |
| 008492162 | Medicaid | NY | |
| 010003655 | Other | NY | BLUE CHOICE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2828 Baird Rd
Suite B
Fairport, NY 14450-1247
Phone (585) 249-0020
82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 63 |
| Removal of skin lesions | 139 |
| Removal of nail tissue | 2048 |
| Removal or shaving of skin growth | 761 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony L. Jordan Health Corporation | Current | Accepting new patients | |
| Anthony L. Jordan Health Corporation | Current | Accepting new patients | |
| Anthony L. Jordan Health Corporation | Current | Accepting new patients |
Locations
214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901
82 Holland St
Rochester, NY 14605
Phone (585) 423-5800
Interoperability endpoints
- diprima@diprima.medicalservices.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jordan at CCIA
- Federally Qualified Health Center (FQHC)
- Canandaigua, NY
- NPI 1649529678
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1083716088
-
dba Jordan Health Center Urgent Care
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1528317567
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1932261914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 BAIRD RD",
"address_2": "SUITE B",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "14450",
"telephone_number": "585-249-0020",
"fax_number": "585-586-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 BAIRD RD",
"address_2": "SUITE B",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "14450",
"telephone_number": "585-249-0020",
"fax_number": "585-586-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPRIMA",
"first_name": "JOSEPH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DPM FAC FAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "003655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8077",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008492162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "010003655",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.