Individual provider Active NPI

Robert K Gregory, D.C.

  • Chiropractor
  • New City, NY
National Provider Identifier
1417292178
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-70 012266 Issued in NY
Practice address
2 Clearview Rd
New City, NY 10956-2813
Phone
(845) 596-6761
Fax
(845) 638-3388
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-70 012266 NY Primary

Addresses

Primary practice location

2 Clearview Rd
New City, NY 10956-2813

Mailing address

2 Clearview Rd
New City, NY 10956-2813
Phone (845) 596-6761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000351 NY Practitioner - Chiropractic 0345487823 Reassigns benefits to 1 organization
Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

493 Route 304
New City, NY 10956-3036
Phone (845) 634-0621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-70 012266NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic Wellness, PLLC Chiropractor CurrentSince Jan 20, 2018 Accepting new patients

Locations

493 S Main St
New City, NY 10956
Phone (845) 634-0621

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1417292178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLEARVIEW RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562813",
            "telephone_number": "845-596-6761",
            "fax_number": "845-638-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLEARVIEW RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562813",
            "telephone_number": "845-596-6761",
            "fax_number": "845-638-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-70 012266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.