Individual provider Active NPI

Gregory Papageorge

  • Clinic/Center
  • Mineola, NY
National Provider Identifier
1215529565
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Viacom Medical Supplies Inc In Home Supportive Care CurrentSince Jul 21, 2024 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.

Verify at the official NPI Registry.