Active NPI
Leah Ellen Gregorio, M.D.
- Pediatrics Physician
- East Hampton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63738
- Practice address
- 42 E High St
East Hampton, CT 06424-1099 - Phone
- (860) 358-6486
- NPI assigned
- May 18, 2016
- Last updated
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 63738 | CT | Primary |
Addresses
Primary practice location
42 E High St
East Hampton, CT 06424-1099
Mailing address
90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-6486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eCW | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63738 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital Dba Family Practice Group Portland | Pediatrics | Current | Accepting new patients |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Pediatrics | Current | Accepting new patients |
| Middlesex Hospital Dba Family Practice Group East Hampton | Pediatrics | Past | Accepting new patients |
Locations
42 E High St
East Hampton, CT 06424
Phone (860) 344-6756
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
90 S Main St
Middletown, CT 06457
Phone (860) 358-6300
13 High St
Portland, CT 06480
Phone (860) 358-6418
Interoperability endpoints
- lgregorio14551@middlesexhealthprd.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Middlesex Hospital dba Family Practice Group
- Family Medicine Physician
- Middletown, CT
- NPI 1851350664
Pediatrics
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
dba Middlesex Hospital dba Middlesex Hospital Psychiatric Physician Servic
- Psychiatry Physician
- Middletown, CT
- NPI 1760451041
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- Medical Physician Assistant
- Portland, CT
- NPI 1568597128
Pediatrics
-
dba Family Practice Group East Hampton
- Family Medicine Physician
- East Hampton, CT
- NPI 1114062114
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1023465283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573649",
"telephone_number": "860-358-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E HIGH ST",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241099",
"telephone_number": "860-358-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORIO",
"first_name": "LEAH",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "63738",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eCW",
"affiliation": "N",
"endpointDescription": "Main Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13 High St",
"city": "Portland",
"state": "CT",
"country_code": "US",
"postal_code": "064801616",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Hampton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.