Active NPI
Gary E Whittier, DPM
- Primary Podiatric Medicine Podiatrist
- Bellerose, NY
National Provider Identifier
1952430837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- NY04440-1
- Practice address
- 24818 Union Tpke
Bellerose, NY 11426-1837 - Phone
- (718) 347-7621
- Fax
- (718) 347-4796
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NY04440-1 | NY | Primary |
Addresses
Primary practice location
24818 Union Tpke
Bellerose, NY 11426-1837
Mailing address
24818 Union Tpke
Bellerose, NY 11426-1837
Phone (718) 347-7621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01138669 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY04440-1 | NY | MD | Primary Podiatric Medicine Podiatrist |
| 004440 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1952430837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24818 UNION TPKE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114261837",
"telephone_number": "718-347-7621",
"fax_number": "718-347-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24818 UNION TPKE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114261837",
"telephone_number": "718-347-7621",
"fax_number": "718-347-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTIER",
"first_name": "GARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "NY04440-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01138669",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellerose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.