Active NPI
Gregory Papageorge
- Clinic/Center
- Mineola, NY
National Provider Identifier
1215529565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 228 E Jericho Tpke
Mineola, NY 11501-2034 - Phone
- (516) 240-0960
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
228 E Jericho Tpke
Mineola, NY 11501-2034
Mailing address
10 Laurel LN
Old Westbury, NY 11568-1544
Phone (516) 695-4398
Other practice location 1
10 Laurel Ln
Old Westbury, NY 11568-1544
Phone (516) 695-4398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viacom Medical Supplies Inc | In Home Supportive Care | Current | Accepting new patients |
Locations
228 E Jericho Tpke
Mineola, NY 11501
Phone (516) 240-0960
Organizations & group practices 1
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": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1215529565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAUREL LN",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115681544",
"telephone_number": "516-695-4398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E JERICHO TPKE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012034",
"telephone_number": "516-240-0960"
}
],
"practiceLocations": [
{
"address_1": "10 Laurel Ln",
"address_purpose": "LOCATION",
"city": "Old Westbury",
"state": "NY",
"postal_code": "115681544",
"country_code": "US",
"telephone_number": "516-695-4398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPAGEORGE",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.