NPI 1609458470 · live from the CMS NPI Registry
Casey Gerety, DPM
Podiatrist in Lebanon, NH. National Provider Identifier 1609458470, active.
NPI record
| NPI | 1609458470 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-5000 |
| Mailing address | 523 Sir Charles Way, Albany, NY 12203 |
| Enumerated | April 22, 2021 |
| Last updated | October 13, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | SC007215 (PA) |
| Podiatrist primary | 213E00000X | 0468 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.