Active NPI
Joseph P Gabryszewski
- Customized Equipment (DME)
- Hyde Park, NY
National Provider Identifier
1992989909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- JOSEPH P GABRYSZEWSKI
- Practice address
- 3 Kirchner Ave
Hyde Park, NY 12538-1208 - Phone
- (845) 229-0092
- Fax
- (845) 229-0093
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Paul Gabryszewski, DPM
- Title
- Owner
- Phone
- (845) 229-0092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
3 Kirchner Ave
Hyde Park, NY 12538-1208
Mailing address
3 Kirchner Ave
Hyde Park, NY 12538-1208
Phone (845) 229-0092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00953622 | Medicaid | NY |
Other names 1
- DBA Hyde Park Podiatry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930047682 | NY | DME Supplier - Physician - Podiatry | 4587879507 | Practice locations: Hyde Park, NY |
National Provider Directory
National Provider DirectoryLocations
3 Kirchner Ave
Hyde Park, NY 12538
Phone (845) 229-0092
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Hyde Park, NY
- NPI 1649278862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1992989909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KIRCHNER AVE",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381208",
"telephone_number": "845-229-0092",
"fax_number": "845-229-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 KIRCHNER AVE",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381208",
"telephone_number": "845-229-0092",
"fax_number": "845-229-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH P GABRYSZEWSKI",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "GABRYSZEWSKI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-229-0092",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00953622",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Hyde Park Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.