Individual provider Active NPI

Anthony Neal Gregory, MD MPH

  • Dermatology Physician
  • Castleton, NY
National Provider Identifier
1396734513
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
173589 Issued in NY
Practice address
1547 Columbia Tpke
Castleton, NY 12033-9543
Phone
(518) 479-4156
Fax
(518) 479-3794
NPI assigned
Oct 20, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 173589 NY Primary
Dermatology Physician 207N00000X ME121388 FL
MOHS-Micrographic Surgery Physician 207ND0101X 173589 NY
MOHS-Micrographic Surgery Physician 207ND0101X ME121388 FL

Addresses

Primary practice location

1547 Columbia Tpke
Castleton, NY 12033-9543

Mailing address

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 477-7130

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000424 NY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9133105422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of North Carolina at Chapel Hill School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Dermatology, PCGroup PAC ID 3375434046, 14 clinicians

Practice addresses (Care Compare)

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision856
Removal of skin lesions2329
Removal of skin cancer1476
Removal of nail tissue1-10
Skin biopsy484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121388FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Dermatology, PC Dermatology CurrentSince Dec 1, 1999 Accepting new patients
Dermatology Group of Florida, P.a. Dermatology PastSince Feb 1, 2015 Accepting new patients
Dermatology Services of Kingston P.C. PastSince Jun 17, 2003 Accepting new patients
BB Medical and Dermatology Inc Mohs-Micrographic Surgery Past Accepting new patients

Locations

1547 Columbia Tpke
Castleton on Hudson, NY 12033
Phone (518) 479-4156

113 Hudson Ave
Chatham, NY 12037
Phone (518) 392-6742

113 Hudson Ave
Uppr Hv
Chatham, NY 12037
Phone (518) 392-6742

Interoperability endpoints

  • Direct secure messaging: agregory@directaddress.net

Organizations & group practices 6

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 2

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396734513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-477-7130",
            "fax_number": "518-694-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-479-4156",
            "fax_number": "518-479-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ANTHONY",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "173589",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME121388",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "173589",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME121388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

Verify at the official NPI Registry.