Individual provider Active NPI

Vladimir Gressel, MD

  • Physical Medicine & Rehabilitation Physician
  • Greentown, PA
National Provider Identifier
1881651024
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
203933 Issued in NY
Practice address
109 Hemlock Ter S
Greentown, PA 18426-4463
Phone
(570) 676-4194
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 203933 NY Primary

Addresses

Primary practice location

109 Hemlock Ter S
Greentown, PA 18426-4463

Mailing address

109 Hemlock Ter S
Greentown, PA 18426-4463
Phone (570) 676-4194

Other identifiers 17

IdentifierTypeStateIssuer
2216966OtherNYAETNA HMO
5015626OtherNYAETNA PPO
BK0078803OtherNYAMERICHOICE WE
GV3933OtherNYATLANTIS
113414745OtherNYUNITED HEALTHCARE
113414745OtherNYMULTIPLAN
VG00T55400OtherNYEMPIRE BCBS
0T5541OtherNYBCBS
1C5997OtherNYHEALTHNET
01739977MedicaidNY
1134147456GR01OtherNYCAREPLUS HEALTH PLAN
BK0078801OtherNYAMERICHOICE PA
P00000019516OtherNYGHI MEDICARE
P836019OtherNYOXFORD
203933OtherNYHIP
204666OtherNYWELLCARE
2799767OtherNYGHI

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
I20100410000049 NY Practitioner - Physical Medicine and Rehabilitation 6103714514 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical & Diagnostic Center Inc CurrentSince Oct 8, 2015 Accepting new patients
Gotto Medical Care P.C. Physical Medicine & Rehabilitation CurrentSince Sep 1, 2015 Accepting new patients
Anastasios Pelias, M.D.,PC Past Accepting new patients
East Shore Medical PC Past Accepting new patients
South Island Medical Associates PC Past Accepting new patients
Personal Touch Medical Care, P.C. PastSince Aug 13, 1996 Accepting new patients

Locations

2523 Kings Hwy
Ste 1D
Brooklyn, NY 11229
Phone (516) 775-5377

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

153 Jefferson Ave
Mineola, NY 11501
Phone (516) 248-2299

Organizations & group practices 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1881651024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HEMLOCK TER S",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264463",
            "telephone_number": "570-676-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HEMLOCK TER S",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264463",
            "telephone_number": "570-676-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSEL",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "203933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2216966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5015626",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE WE",
            "identifier": "BK0078803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "GV3933",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "113414745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "113414745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "VG00T55400",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0T5541",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C5997",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS HEALTH PLAN",
            "identifier": "1134147456GR01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE PA",
            "identifier": "BK0078801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "P00000019516",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P836019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "203933",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "204666",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2799767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, PA

Sources for this page

Verify at the official NPI Registry.