Provider Demographics
NPI:1023170719
Name:NASCA, JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:NASCA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 KENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2861
Mailing Address - Country:US
Mailing Address - Phone:716-833-0225
Mailing Address - Fax:716-833-2793
Practice Address - Street 1:369 KENMORE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2861
Practice Address - Country:US
Practice Address - Phone:716-833-0225
Practice Address - Fax:716-833-2793
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003878-1213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000500803001OtherCOMUNITY BLUE
NY00945377Medicaid
NY00020074901OtherUNIVERA
NY000500803001OtherCOMUNITY BLUE
NYT25877Medicare UPIN