Individual provider Active NPI

Jody Greco, MS,RD,CDN

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1063419687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005907 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P3364236OtherNYOXFORD
352328POtherNYHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050326000009 NY Practitioner - Registered Dietitian Or Nutrition Professional 1658327218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 15, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jul 15, 2017 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.

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.

Verify at the official NPI Registry.