Active NPI
Gregory Coles
- Nurse's Aide
- Philadelphia, PA
National Provider Identifier
1477201853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 10048251
- Practice address
- 2423 N Newkirk St
Philadelphia, PA 19132-3508 - Phone
- (484) 686-8342
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 10048251 | PA | Primary |
Addresses
Primary practice location
2423 N Newkirk St
Philadelphia, PA 19132-3508
Mailing address
2423 N Newkirk St
Philadelphia, PA 19132-3508
Phone (484) 686-8342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10048251 | PA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1477201853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 N NEWKIRK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191323508",
"telephone_number": "484-686-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 N NEWKIRK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191323508",
"telephone_number": "484-686-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLES",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "PA",
"license": "10048251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.