Active NPI
David Louis Greco, D.M.D.
- Periodontics
- Weehawken, NJ
National Provider Identifier
1780067397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 059486
- Practice address
- 800 Avenue at Port Imperial
Commercial Unit #2
Weehawken, NJ 07086 - Phone
- (201) 268-3288
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 059486 | NY | Primary |
Addresses
Primary practice location
800 Avenue at Port Imperial
Commercial Unit #2
Weehawken, NJ 07086
Mailing address
800 Avenue at Port Imperial
Commercial Unit #2
Weehawken, NJ 07086
Phone (917) 774-2831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059486 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1780067397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 AVENUE AT PORT IMPERIAL",
"address_2": "COMMERCIAL UNIT #2",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "07086",
"telephone_number": "917-774-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AVENUE AT PORT IMPERIAL",
"address_2": "COMMERCIAL UNIT #2",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "07086",
"telephone_number": "201-268-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "DAVID",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2023-10-27",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "059486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weehawken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.