Organization Active NPI

Gregory G. Carnevale,M.D,L.L.C.

  • Otolaryngic Allergy Physician
  • Geneva, NY
National Provider Identifier
1780765370
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02360790MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.