Active NPI
Jody Greco, MS,RD,CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1063419687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005907
- Practice address
- 315 W 106TH St
9-C
New York, NY 10025-3445 - Phone
- (212) 866-3656
- NPI assigned
- Jun 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005907 | NY | Primary |
Addresses
Primary practice location
315 W 106TH St
9-C
New York, NY 10025-3445
Mailing address
315 W 106TH St
9-C
New York, NY 10025-3445
Phone (212) 866-3656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3364236 | Other | NY | OXFORD |
| 352328P | Other | NY | HIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2432 Grand Concourse
Fl 5
Bronx, NY 10458
Phone (718) 563-0036
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063419687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W 106TH ST",
"address_2": "9-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253445",
"telephone_number": "212-866-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 106TH ST",
"address_2": "9-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253445",
"telephone_number": "212-866-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "JODY",
"name_prefix": "Ms.",
"credential": "MS,RD,CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3364236",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "352328P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.