Provider Demographics
NPI:1326033853
Name:SAPERSTEIN, GREGORY JAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JAY
Last Name:SAPERSTEIN
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 1:3275 LEECHBURG RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2858
Mailing Address - Country:US
Mailing Address - Phone:724-339-3500
Mailing Address - Fax:724-339-8331
Practice Address - Street 1:3275 LEECHBURG RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-2858
Practice Address - Country:US
Practice Address - Phone:724-339-3500
Practice Address - Fax:724-339-8331
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003148L213E00000X, 213EP0504X, 213EP1101X, 213ER0200X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30471Medicare UPIN
PA444575Medicare ID - Type Unspecified