John S Greco Jr MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA05895200 Issued in NJ

Legal business name

JOHN S GRECO JR MD PA

Practice address

130 Maple Ave BLDG 4
John S Greco Jr MD PA
Red Bank, NJ 07701-1734

Phone

(732) 741-7997

Fax

(732) 741-8746

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

John S Greco Jr., MDNPI 1770686867

Title

MD President

Phone

(732) 741-7997

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• John S Greco Jr., MD

  • Ophthalmology Physician
  • Red Bank, NJ
  • NPI 1770686867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1669485173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7400",
            "address_2": "JOHN S GRECO JR MD PA",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077027400",
            "telephone_number": "732-741-7997",
            "fax_number": "732-741-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE BLDG 4",
            "address_2": "JOHN S GRECO JR MD PA",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-741-7997",
            "fax_number": "732-741-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S GRECO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "732-741-7997",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05895200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5994209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.