GIANNI PERSICH DPM (NPI# 1770747891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770747891 |
| Entity Type | Organization |
| Organization Name | GIANNI PERSICH DPM |
| Practice Address |
4207 30th Ave Astoria NY 11103-2910 |
| Practice Telephone | 7187770360 |
| Practice Fax Number | 7187773180 |
| Mailing Telephone | 7187770360 |
| Mailing Fax Number | 7187773180 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | DR. GIANNI PERSICH (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7187770360 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N004789 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD | P376490 | 01 |
| NY | EMPIRE BLUE CROSS | P52221 | 01 |
| Street Address |
4207 30TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881632487 | Jan Muney Arnett | Ophthalmology | 4207 30th Ave, Astoria, NY 11103-2910 | 2006-06-03 |
| 1124402060 | Marika Massay | Physician Assistant | 4207 30th Ave, Astoria, NY 11103-2910 | 2015-07-09 |
| 1417361569 | Pamela Dawn Arnett | Optometrist | 4207 30th Ave, Astoria, NY 11103-2910 | 2014-06-17 |
| 1083894265 | All County Podiatry Associates PC | Podiatrist | 4207 30th Ave, Astoria, NY 11103-2910 | 2007-11-06 |
| 1699979930 | Metropolitan Eye Surgery, PC | Ophthalmology | 4207 30th Ave, Astoria, NY 11103-2910 | 2007-06-12 |
| 1013053461 | Sameet Arun Palkhiwala | Internal Medicine | 4207 30th Ave, Astoria, NY 11103-2910 | 2007-01-30 |
| 1205878949 | Arun J Palkhiwala | Internal Medicine | 4207 30th Ave, Astoria, NY 11103-2910 | 2006-06-10 |
| 1780625277 | Vijay Mattoo | Internal Medicine | 4207 30th Ave, Astoria, NY 11103-2910 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942632443 | D&d Podiatry, P.C. | Podiatrist | 23-18 Broadway, Astoria, NY 11106 | 2013-08-07 |
| 1467705194 | Astoria Foot and Ankle Surgery | Podiatrist | 22-02 Steinway Street, Astoria, NY 11105 | 2012-10-18 |
| 1982906723 | Jose Paul Loor | Podiatrist | 2308 Newtown Ave, Apt 2fe, Astoria, NY 11102-3009 | 2010-11-30 |
| 1700104056 | Mamdou Abousamra | Podiatrist | 2519 30th Dr Ste 1l, Astoria, NY 11102-2701 | 2010-05-11 |
| 1457683104 | All County Foot and Ankle LLP | Podiatrist | 28-56 A 41st Street, 2fl, Astoria, NY 11103-3301 | 2010-02-05 |
| 1023186574 | Ioanis Arapidis | Podiatrist | 2252 33rd St, Astoria, NY 11105-2403 | 2006-12-01 |
| 1831157049 | Eugene Young Kim | Podiatrist | 3117 Ditmars Blvd, Astoria, NY 11105-2300 | 2006-05-04 |
| 1083698963 | Roger Adam Hans | Podiatrist | 3116 30th Ave, Suite#203, Astoria, NY 11102-1545 | 2005-12-03 |
| 1477555415 | Ovidio Joseph Falcone | Podiatrist | 3501 30th Ave, Astoria, NY 11103-4662 | 2005-08-10 |
| 1255757241 | Lady Paula Dejesus, Dpm, P.C. | Podiatrist | 23-18 Broadway, Astoria, NY 11106 | 2014-03-14 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.