Nicholas J Grego, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003907L Issued in PA

Practice address

1800 Jackson St
Philadelphia, PA 19145-3712

Phone

(215) 826-8050

Fax

(215) 826-8053

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Cedar Crest Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Allentown, PA
  • NPI 1447283916
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114966314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074813",
            "telephone_number": "215-826-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JACKSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453712",
            "telephone_number": "215-826-8050",
            "fax_number": "215-826-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGO",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003907L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0058006000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Greer, MD
• Sarah Elizabeth Hauver Greer, MD
• Jeffrey M Greeson, PHD
• Austin Taylor Gregg, MD
• Taheera J Greggs
• Danielle Gregoire, PT
• Brittney Renee Gregor, CRNP
• Gregory Derusso LTD
• Christin Ann Gregory, DSW, LCSW
• Emily Flora Gregory, M.D.

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.