Individual provider Active NPI

Gregorio Chiu, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1669414702
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1234651 Issued in NY
Practice address
3245 Nostrand Ave
Brooklyn, NY 11229
Phone
(718) 615-3777
Fax
(718) 615-3717
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1234651 NY Primary

Addresses

Primary practice location

3245 Nostrand Ave
Brooklyn, NY 11229

Mailing address

55 Water St
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

740 64th St 7th Ave Bay Ridge Center
Brooklyn, NY 11220
Phone (718) 439-2000

Other practice location 2

740 64th St 7th Ave Bay Ridge Center
Brooklyn, NY 11220
Phone (718) 439-2000

Other identifiers 1

IdentifierTypeStateIssuer
01080903976MedicaidNY

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
I20100121000369 NY Practitioner - Pediatric Medicine 5496897969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123465NYMDSocial Worker
1234651NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Feb 20, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 20, 2017 Accepting new patients

Locations

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

3245 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 615-3777

55 Water St
Fl 2
New York, NY 10041

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1669414702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-615-3777",
            "fax_number": "718-615-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 64th St 7th Ave Bay Ridge Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11220",
            "country_code": "US",
            "telephone_number": "718-439-2000",
            "fax_number": "718-439-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 64th St 7th Ave Bay Ridge Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11220",
            "country_code": "US",
            "telephone_number": "718-439-2000",
            "fax_number": "718-439-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "GREGORIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1234651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080903976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.