Individual provider Active NPI

Daryl Gershbein, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1942263348
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2103 Issued in FL
Practice address
3095 NW 7TH St
Miami, FL 33125-4241
Phone
(305) 642-4044
Fax
(305) 642-2320
NPI assigned
Apr 8, 2006
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2103 FL Primary

Addresses

Primary practice location

3095 NW 7TH St
Miami, FL 33125-4241

Mailing address

3095 NW 7TH St
Miami, FL 33125-4241
Phone (305) 642-4044

Other practice location 1

3185 SW 8th St
Miami, FL 33135-4533
Phone (305) 642-4044

Other identifiers 1

IdentifierTypeStateIssuer
057058300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000407 FL Practitioner - Podiatry 7416030101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2103FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl Gershbein DPM PA Podiatrist CurrentSince Oct 26, 1990 Accepting new patients

Locations

3185 SW 8th St
Miami, FL 33135
Phone (305) 642-4044

3095 NW 7th St
Miami, FL 33125
Phone (305) 541-4033

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1942263348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254241",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254241",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3185 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331354533",
            "country_code": "US",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSHBEIN",
        "first_name": "DARYL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057058300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.