Active NPI
Gregory L Ilioff, MD
- Anesthesiology Physician
- Binghamton, NY
National Provider Identifier
1710973276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- AI3249097
- Practice address
- Riverside Associates in Anesthesia
40 Front Street
Binghamton, NY 13905 - Phone
- (607) 722-7264
- Fax
- (607) 722-7869
- NPI assigned
- Sep 21, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AI3249097 | NY | Primary |
Addresses
Primary practice location
Riverside Associates in Anesthesia
40 Front Street
Binghamton, NY 13905
Mailing address
Riverside Associates in Anesthesia
40 Front Street
Binghamton, NY 13905
Phone (607) 722-7264
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01130510 | Medicaid | NY | |
| CAN177465 | Other | NY | WORKERS COMP |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710973276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RIVERSIDE ASSOCIATES IN ANESTHESIA",
"address_2": "40 FRONT STREET",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RIVERSIDE ASSOCIATES IN ANESTHESIA",
"address_2": "40 FRONT STREET",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIOFF",
"first_name": "GREGORY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "AI3249097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01130510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "CAN177465",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.