Gregory P. Collis

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

02056302 Issued in NY

Legal business name

GREGORY P. COLLIS

Practice address

8196 Green Rd
Hubbardsville, NY 13355-1132

Phone

(315) 382-6725

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Paul Collis

Title

Operator

Phone

(315) 382-6725

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gregory P Collis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Gregory P Collis

  • Home Health Agency
  • Syracuse, NY
  • NPI 1104034362
  NPD tax ID
• Gregory P Collis

  • Home Health Agency
  • Hubbardsville, NY
  • NPI 1174731335
  NPD tax ID
• Gregory P Collis

  • Home Health Agency
  • Manlius, NY
  • NPI 1861600025
  NPD tax ID

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376754309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHLAND ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031603",
            "telephone_number": "315-382-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 GREEN RD",
            "city": "HUBBARDSVILLE",
            "state": "NY",
            "postal_code": "133551132",
            "telephone_number": "315-382-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P. COLLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "315-382-6725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "02056302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Dowsland, FNP-C
• Gregory P Collis
• Hanna Joy Hull, RN
• Marla K Warner, PTA
• Cassidy Hannah Welsh, PA-S
• Holly R York, LMT

• Non-emergency Medical Transport (VAN) in Hubbardsville, NY
• Providers in Hubbardsville, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.