Active NPI
Nicole D Greco, PA
- Physician Assistant
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002135
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 647-6459
- Fax
- (860) 533-2975
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 002135 | CT | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
2422 Town Brooke
Middletown, CT 06457-6630
Phone (516) 425-8583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.22 of 100
- Quality
- 82.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002135 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neurosurgery Specialists, PLLC | Physician Assistant | Current | Accepting new patients |
| Greenwich Hospital | Current | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Past | Accepting new patients |
Locations
39 Hospital Ave
Danbury, CT 06810
Phone (203) 744-9700
6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
6 Greenwich Office Park
#40
Greenwich, CT 06831
Phone (203) 869-1145
249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353
500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ngreco@ons.emadirect.md
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Greenwich, CT
- NPI 1033318720
NY, Physician Assistant
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1114358348
-
- Community Based Hospice Care Agency
- Stanford, CT
- NPI 1073637724
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1689823213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 TOWN BROOKE",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064576630",
"telephone_number": "516-425-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-647-6459",
"fax_number": "860-533-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "NICOLE",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.