NPIMap

Individual provider Active NPI

Gerard Degregoris, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1356589212
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
251334 Issued in NY
Practice address
115 E 57TH St
Suite 610
New York, NY 10022-2049
Phone
(212) 535-3505
Fax
(212) 535-3568
NPI assigned
Jan 30, 2009
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 251334 NY Primary
Interventional Pain Medicine Physician 208VP0014X 25MA09175500 NJ

Addresses

Primary practice location

115 E 57TH St
Suite 610
New York, NY 10022-2049

Mailing address

115 E 57TH St
Suite 610
New York, NY 10022-2049
Phone (212) 535-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120627000046 NY Practitioner - Anesthesiology 3274798160 Reassigns benefits to 1 organization
I20141105002097 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3274798160

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 E 57TH St
Suite 610
New York, NY 10022-2129
Phone (212) 535-3505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as individual
Quality
95.79
Improvement activities
40
Cost
73.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gerard Degregoris III, MD PC CurrentSince May 23, 2018 Accepting new patients
Orthopaedic and Spine Institute of NJ PC CurrentSince Jul 1, 2015 Accepting new patients

Locations

1 Bethany Rd
Ste 21
Hazlet, NJ 07730
Phone (732) 264-8282

115 E 57th St
Ste 610
New York, NY 10022
Phone (212) 535-3505

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_OSI
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1356589212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-535-3505",
            "fax_number": "212-535-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-535-3505",
            "fax_number": "212-535-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIS",
        "first_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "251334",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA09175500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.