Individual provider Active NPI

Gary E Whittier, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bellerose, NY
National Provider Identifier
1952430837
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NY04440-1 Issued in NY
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

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01138669MedicaidNY

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

LicenseStateTypeSpecialty
NY04440-1NYMDPrimary Podiatric Medicine Podiatrist
004440NYMDOccupational 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.

Verify at the official NPI Registry.