Active NPI
Gregory G. Carnevale,M.D,L.L.C.
- Otolaryngic Allergy Physician
- Geneva, NY
National Provider Identifier
1780765370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- Legal business name
- GREGORY G. CARNEVALE,M.D,L.L.C.
- Practice address
- 784 Pre Emption Rd
Geneva, NY 14456-2018 - Phone
- (315) 789-2153
- Fax
- (315) 789-4781
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory G Carnevale, M.D.
- Title
- Owner
- Phone
- (315) 789-2153
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | |||
| Otolaryngic Allergy Physician | 207YX0602X | Primary |
Addresses
Primary practice location
784 Pre Emption Rd
Geneva, NY 14456-2018
Mailing address
784 Pre Emption Rd
Geneva, NY 14456-2018
Phone (315) 789-2153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02360790 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
784 Pre Emption Rd
Geneva, NY 14456
Phone (315) 787-7337
64 Elizabeth Blackwell St
Ste A
Geneva, NY 14456
Phone (315) 789-2153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1780765370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562018",
"telephone_number": "315-789-2153",
"fax_number": "315-789-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562018",
"telephone_number": "315-789-2153",
"fax_number": "315-789-4781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY G. CARNEVALE,M.D,L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CARNEVALE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-789-2153",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02360790",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.