Active NPI
Victoria Degregorio, NP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1144627449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 307170
- Practice address
- 30 Broad St FL 45
New York, NY 10004 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307170 | NY | |
| Nurse Practitioner | 363L00000X | 307170 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 95001670 | CA |
Addresses
Primary practice location
30 Broad St FL 45
New York, NY 10004
Mailing address
30 Broad St FL 45
New York, NY 10004-2942
Phone (212) 530-0630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
185 Broadway
FL 2
New York, NY 10007-0167
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307170 | NY | MD | Nurse Practitioner |
| 95001670 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
185 Broadway
#2
New York, NY 10007
Phone 8886636331 ext. 86791
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
680 White Plains Rd
Scarsdale, NY 10583
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 5
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.
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- NPI 1194183715
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- Family Medicine Physician
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- NPI 1760288278
-
- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1144627449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BROAD ST FL 45",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042942",
"telephone_number": "212-530-0630",
"fax_number": "212-867-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST FL 45",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGREGORIO",
"first_name": "VICTORIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307170",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "307170",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95001670",
"primary": false
}
],
"identifiers": [],
"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 Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.