Robert A.D. Gregory, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X000136-1 Issued in NY

Practice address

5 Grandview Ave
Nanuet, NY 10954-2510

Phone

(845) 623-3939

Fax

(845) 624-5808

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1780752600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRANDVIEW AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542510",
            "telephone_number": "845-623-3939",
            "fax_number": "845-624-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRANDVIEW AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542510",
            "telephone_number": "845-623-3939",
            "fax_number": "845-624-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ROBERT",
        "middle_name": "A.D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X000136-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "C00136-4",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P643083",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X0464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevonafaith Gordon, LPN
• Risa Schwed Gorelick
• Paul Edward Gould, DDS
• James Joseph Gregory, D.C.
• Richard John Gregory, DC
• Maryellen A. Griffin, MS, CCC-SLP
• Stacey Guignard
• Darragh Guilfoyle, RN
• Estephany Yomara Gutierrez
• Perpetual Gyimah, PMHNP-BC

• Chiropractor in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.