Gerard Degregoris III, MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

251334 Issued in NY

Legal business name

GERARD DEGREGORIS III, MD PC

Practice address

115 E 57TH St Ste 610
New York, NY 10022-2129

Phone

(212) 535-3505

Fax

(212) 535-3568

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Gerard Degregoris III, MDNPI 1356589212

Title

Owner

Phone

(212) 535-3505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerard Degregoris, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1356589212
  Medicare reassignment NPD Authorized official
• Teddy Theodorakis, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1689111445
  Medicare reassignment NPD

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1548757958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222129",
            "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 STE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222129",
            "telephone_number": "212-535-3505",
            "fax_number": "212-535-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD DEGREGORIS III, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "DEGREGORIS",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-535-3505",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "251334",
            "primary": true
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "251334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Gerald, LSW
• Laura Berenice Geraldino Pardilla, M.D.
• Antony Geralis, C.PSY.A., L.PSY.A.
• Helene Geramian
• Leila Geramian
• David Gerard, PH.D.
• Michael Antonio Gerard, PT
• Joann Gerardi, PHD
• Margaret Gerardi, PA-C
• Suzette Gerardi

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.