Individual provider Active NPI

Gregory Vetrano Siegel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1053079418
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405005 Issued in NY
Practice address
6043 Madison St
Flushing, NY 11385-3943
Phone
(914) 319-8169
NPI assigned
Dec 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405005 NY Primary

Addresses

Primary practice location

6043 Madison St
Flushing, NY 11385-3943

Mailing address

6043 Madison St
Flushing, NY 11385-3943
Phone (914) 319-8169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102001906 NY Practitioner - Nurse Practitioner 1850747429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians
Samuel Field YmandywhaGroup PAC ID 9537154638, 18 clinicians

Practice addresses (Care Compare)

1273 53Rd St
Brooklyn, NY 11219-3865
Phone (718) 435-5700

2740 Hoyt Ave S
Astoria, NY 11102-2035
Phone (718) 224-0566

4331 39TH St
Sunnyside, NY 11104-4316
Phone (718) 224-0566

4525 Kissena Blvd
Suite 1
Flushing, NY 11355-3435
Phone (718) 224-0566

5928 Little Neck Pkwy
Little Neck, NY 11362-2532
Phone (718) 224-0566

6709 108TH St
Forest Hills, NY 11375-2146
Phone (718) 224-0566

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Oct 1, 2023 Accepting new patients
Samuel Field Ym&Ywha CurrentSince Oct 28, 2023 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Brooklyn Minds Psychiatry, P.C. PastSince Dec 1, 2021 Accepting new patients
Karat Health, Inc. Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

5928 Little Neck Pkwy
Little Neck, NY 11362
Phone (347) 306-0767

5820 Little Neck Pkwy
Little Neck, NY 11362
Phone 64651875842001

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1053079418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 MADISON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113853943",
            "telephone_number": "914-319-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 MADISON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113853943",
            "telephone_number": "914-319-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "GREGORY",
        "middle_name": "VETRANO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.