Individual provider Active NPI

Gregory Warwick Taylor, MD

  • Neurology Physician
  • Bloomfield, CT
National Provider Identifier
1144221607
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
046010 Issued in CT
Practice address
34 Jerome Ave Ste 204
Bloomfield, CT 06002-2463
Phone
(860) 966-9680
Fax
(860) 206-6075
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 046010 CT Primary

Addresses

Primary practice location

34 Jerome Ave Ste 204
Bloomfield, CT 06002-2463

Mailing address

34 Jerome Ave Ste 204
Bloomfield, CT 06002-2463
Phone (860) 966-9680

Other practice location 1

21 Fox St.
Suite 102
Poughkeepsie, NY 12601-4723
Phone (845) 452-9750

Other identifiers 1

IdentifierTypeStateIssuer
02581973MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127001527 CT Practitioner - Neurology 1254398647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

80 S Main St
Suite 101
Middletown, CT 06457-3648
Phone (860) 358-6878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046010CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Dec 30, 2020 Accepting new patients
Middlesex Hospital Single Specialty CurrentSince Dec 30, 2020 Accepting new patients
Hartford Healthcare Medical Group, Inc Single Specialty CurrentSince Jan 1, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Single Specialty CurrentSince Jun 2, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Single Specialty CurrentSince Jun 2, 2019 Accepting new patients
Nuvance Health Medical Practice PC Single Specialty Past Accepting new patients
Archbold Medical Group, Inc. Single Specialty Past Accepting new patients

Locations

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

1000 Asylum Ave
Ste 4304
Hartford, CT 06105
Phone (860) 522-3711

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

455 Lewis Ave
Ste 221
Meriden, CT 06451
Phone (203) 694-7595

80 S Main St
Ste 101
Middletown, CT 06457
Phone (860) 358-5970

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

80 S Main St
Middletown, CT 06457
Phone (860) 347-6939

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: gtaylor60232@middlesexhealthprd.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1144221607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-966-9680",
            "fax_number": "860-206-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 204",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-966-9680",
            "fax_number": "860-206-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Fox St.",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014723",
            "country_code": "US",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "WARWICK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "046010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.