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Individual provider Active NPI

Gregory S Destefano, APRN

  • Adult Health Nurse Practitioner
  • Shelton, CT
National Provider Identifier
1720081110
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002291 Issued in CT
Practice address
NP Resources, LLC
Six Corporate Drive, Suite 420
Shelton, CT 06484
Phone
(203) 925-9600
NPI assigned
May 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002291 CT Primary

Addresses

Primary practice location

NP Resources, LLC
Six Corporate Drive, Suite 420
Shelton, CT 06484

Mailing address

5 Sherwood Dr
North Haven, CT 06473-2129
Phone (203) 645-5053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051217000002 NY Practitioner - Nurse Practitioner 1557268083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical Group PCGroup PAC ID 3971878901, 31 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002291CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital CurrentSince Sep 1, 2014 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
New York and Presbyterian Hosp CurrentSince Sep 1, 2014 Accepting new patients
North Shore-Lij Medical Group P.C. CurrentSince Feb 25, 2019 Accepting new patients
NP Care, LLC Past Accepting new patients
NP Care, LLC Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

100 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-2900

100 E 77th St
Fl 5
New York, NY 10075
Phone (203) 901-9838

27005 76th Ave
North New Hyde Pk, NY 11040

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gdestefano61250@northwell.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720081110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHERWOOD DR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732129",
            "telephone_number": "203-645-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NP RESOURCES, LLC",
            "address_2": "SIX CORPORATE DRIVE, SUITE 420",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-925-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.