NPIMap

Organization Active NPI

Sandra J. Greco, MD, Facog, PA

Doing business as Coastal Pelvic Floor Center

  • Gynecology Physician
  • Long Branch, NJ
National Provider Identifier
1053463315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA07003900 Issued in NJ
Legal business name
SANDRA J. GRECO, MD, FACOG, PA
Doing business as
Coastal Pelvic Floor Center
Practice address
279 3Rd Ave
Suite 307
Long Branch, NJ 07740-6205
Phone
(732) 571-0972
Fax
(732) 571-0748
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sandra Jeanne Greco, MD
Title
Physician
Phone
(732) 571-0972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 25MA07003900 NJ Primary

Addresses

Primary practice location

279 3Rd Ave
Suite 307
Long Branch, NJ 07740-6205

Mailing address

279 3Rd Ave
Suite 307
Long Branch, NJ 07740-6205
Phone (732) 571-0972

Other names 1

  • Coastal Pelvic Floor Center Doing business as

National Provider Directory

National Provider Directory

Locations

279 3rd Ave
Ste 307
Long Branch, NJ 07740
Phone (732) 222-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8414/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053463315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 307",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205",
            "telephone_number": "732-571-0972",
            "fax_number": "732-571-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 307",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205",
            "telephone_number": "732-571-0972",
            "fax_number": "732-571-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA J. GRECO, MD, FACOG, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-571-0972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA07003900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pelvic Floor Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.