Healthcare Provider Details

I. General information

NPI: 1609824168
Provider Name (Legal Business Name): GATEWAY FOOT & ANKLE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 ROUTE 51 STE 201
JEFFERSON HILLS PA
15025-3652
US

IV. Provider business mailing address

1633 ROUTE 51 STE 201
JEFFERSON HILLS PA
15025-3652
US

V. Phone/Fax

Practice location:
  • Phone: 412-405-8065
  • Fax: 412-405-8064
Mailing address:
  • Phone: 412-405-8065
  • Fax: 412-405-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC003461R
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberSC003461R
License Number StatePA

VIII. Authorized Official

Name: DERRICO VINCENT QUATTRONE
Title or Position: PRESIDENT
Credential: DPM
Phone: 412-405-8065