Gregory W Smalley Jr., NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F4314821 Issued in NY

Practice address

6511 Booth St Apt 1C
Rego Park, NY 11374-4184

Phone

(718) 806-1434

NPI assigned

Apr 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: gsmalley1299600@nychhc.direct-ci.com

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1811550163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST APT 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST APT 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "GREGORY",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F4314821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Skala III, DDS
• Brenda Spampanato Skarlatos, LCSW
• Alexandra Skinder
• Marina Skutelsky, D.D.S
• Jamie Sloyer, LMSW
• SMB Medical, PC
• Annamaria Ester Smeraldi, MSED
• Marlene Smikle, LCSW
• Glen E Smith
• Claudia L Smuglin, M.D.

• Acute Care Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.

Verify at the official NPI Registry.