Organization Active NPI

Joseph P Gabryszewski

  • Customized Equipment (DME)
  • Hyde Park, NY
National Provider Identifier
1992989909
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Joseph Paul Gabryszewski, DPMNPI 1649278862
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00953622MedicaidNY

Other names 1

  • DBA Hyde Park Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930047682 NY DME Supplier - Physician - Podiatry 4587879507 Practice locations: Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.