Active NPI
Annamarie Greco
- Pediatrics Physician
- New York, NY
National Provider Identifier
1750480646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 170340
- Practice address
- 1050 5TH Ave
Suite #3
New York, NY 10028-0110 - Phone
- (212) 987-0123
- Fax
- (212) 987-0653
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 170340 | NY | Primary |
Addresses
Primary practice location
1050 5TH Ave
Suite #3
New York, NY 10028-0110
Mailing address
1050 5TH Ave
Suite#3
New York, NY 10028-0110
Phone (212) 987-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01517284 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170340 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHHN Medical, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- annamarie.greco.1@1429.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1750480646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 5TH AVE",
"address_2": "SUITE#3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280110",
"telephone_number": "212-987-0123",
"fax_number": "212-987-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 5TH AVE",
"address_2": "SUITE #3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280110",
"telephone_number": "212-987-0123",
"fax_number": "212-987-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "ANNAMARIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "170340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01517284",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.