Individual provider Active NPI

Evelyn Greco, DO

  • Dermatology Physician
  • Astoria, NY
National Provider Identifier
1861897290
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
281125 Issued in NY
Practice address
2381 38TH St
Astoria, NY 11105-1909
Phone
(718) 274-4900
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 281125 NY Primary

Addresses

Primary practice location

2381 38TH St
Astoria, NY 11105-1909

Mailing address

2381 38TH St
Astoria, NY 11105-1909
Phone (718) 274-4900

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008001447 NY Practitioner - Dermatology 9335491018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey F. Brisman MD PCGroup PAC ID 5294077277, 3 clinicians

Practice addresses (Care Compare)

50 Glen Cove Rd
Greenvale, NY 11548-1062
Phone (516) 200-3545

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions941
Removal or shaving of skin growth1-10
Skin biopsy532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Hoffman DO PC Dermatology CurrentSince Jan 20, 2019 Accepting new patients
Stacey F Brisman MD PC Dermatology CurrentSince Mar 30, 2022 Accepting new patients

Locations

686 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-1111

11120 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-2208

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

233 W Route 59
Nanuet, NY 10954
Phone (845) 510-2200

441 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 388-6622

Interoperability endpoints

  • Direct secure messaging: egreco13@walkindermatology.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1861897290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051909",
            "telephone_number": "718-274-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051909",
            "telephone_number": "718-274-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "EVELYN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "281125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.