Active NPI
Gregory Paul Toczko, PA
- Physician Assistant
- Malone, NY
National Provider Identifier
1629298336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 925
- Practice address
- 133 Park St
Malone, NY 12953-1243 - Phone
- (518) 483-3000
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 925 | MA | Primary |
Addresses
Primary practice location
133 Park St
Malone, NY 12953-1243
Mailing address
59 Milwaukee St
Malone, NY 12953-1916
Phone (518) 353-2579
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Alice Hyde Medical Center | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- Medicare Defined Swing Bed Hospital Unit
- Malone, NY
- NPI 1689369696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1629298336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 MILWAUKEE ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531916",
"telephone_number": "518-353-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531243",
"telephone_number": "518-483-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOCZKO",
"first_name": "GREGORY",
"middle_name": "PAUL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.