Individual provider Active NPI

Gregory Beltrani, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Pelham, NY
National Provider Identifier
1689094658
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017260 Issued in NY
Practice address
178 Ancon Ave
Pelham, NY 10803-2005
Phone
(516) 200-6937
Fax
(516) 210-9930
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017260 NY Primary
Physician Assistant 363A00000X 017260 NY

Addresses

Primary practice location

178 Ancon Ave
Pelham, NY 10803-2005

Mailing address

38 Hurtin St
Port Jefferson Station, NY 11776-3920
Phone (631) 455-6661

Other practice location 1

38 Hurtin St
Port Jefferson Station, NY 11776-3920
Phone (631) 455-6661

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206002587 NY Practitioner - Physician Assistant 6901232107 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017260NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Touch in-Home Medical Care P.C. CurrentSince Dec 31, 2025 Accepting new patients

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Touch in-Home Medical Care P.C. 3 clinicians
Community Medical Wellness PC 22 clinicians

Practice addresses (Care Compare)

Pelham, NY 10803
Phone (516) 200-6937

170 E Main St
Babylon, NY 11702-3510
Phone (631) 828-4545

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1689094658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HURTIN ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763920",
            "telephone_number": "631-455-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 ANCON AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032005",
            "telephone_number": "516-200-6937",
            "fax_number": "516-210-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Hurtin St",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117763920",
            "country_code": "US",
            "telephone_number": "631-455-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRANI",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017260",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

Verify at the official NPI Registry.