GERALD DIMASO MDPC
NPI 1760777486
Clinic/Center - Primary Care in Staten Island, NY

Active since June 10, 2011
68 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 356-6500(718) 356-0348 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald Dimaso Mdpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD DIMASO MDPC (NPI 1760777486) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since June 2011. The organization lists Gerald Gennaro Dimaso, President, as its authorized official.

NPPES Registry Identity

NPI1760777486
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGERALD DIMASO MDPC
Location Address68 SEGUINE AVEStaten Island, NY 10309-3723
Mailing Address69 Seguine AvenueStaten Island, NY 10309 · (718) 356-6500 · Fax (718) 356-0348
Fax(718) 356-0348
Organization SubpartNo
Authorized OfficialGerald Gennaro DimasoPresident · (718) 356-6500
Enumeration DateJune 10, 2011
NPI 1760777486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 170623
68 SEGUINE AVE, Staten Island, NY 10309

Other Identifiers 1

Medicare PIN25EO21

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
68 SEGUINE AVE
STATEN ISLAND, NY 10309
Internal Medicine
68 SEGUINE AVE
STATEN ISLAND, NY 10309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Dimaso Mdpc's NPI number?

The NPI number for Gerald Dimaso Mdpc is 1760777486. It was assigned to this organization in the NPPES registry on June 10, 2011.

Where is Gerald Dimaso Mdpc located?

Gerald Dimaso Mdpc is located at 68 Seguine Ave, Staten Island, NY 10309. The listed phone number is (718) 356-6500.

What is Gerald Dimaso Mdpc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Gerald Dimaso Mdpc was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.