Individual provider Active NPI

Gregory Lollo, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1881690733
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
190657-1 Issued in NY
Practice address
800 2ND Ave FL 7
New York, NY 10017-9224
Phone
(212) 867-0609
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 73586 CT
Anesthesiology Physician 207L00000X 190657-1 NY Primary

Addresses

Primary practice location

800 2ND Ave FL 7
New York, NY 10017-9224

Mailing address

800 2ND Ave FL 7
New York, NY 10017-9224
Phone (212) 867-0609

Other practice location 1

133 Route 37 S
Sherman, CT 06784-2202
Phone (631) 901-3137

Other identifiers 2

IdentifierTypeStateIssuer
01600164MedicaidNY
73586OtherCTMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120605000234 NY Practitioner - Anesthesiology 3870757750 Reassigns benefits to 1 organization
I20231121001658 CT Practitioner - Anesthesiology 3870757750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

21 Elm St
New Milford, CT 06776-2915
Phone (860) 210-5390

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190657-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Anesthesiology CurrentSince Oct 11, 2023 Accepting new patients
Igor Amigud Physician P.C. CurrentSince Mar 19, 2018 Accepting new patients
Lenox Hill Medical Anesthesiology, PLLC Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

21 Elm St
New Milford, CT 06776
Phone (860) 210-5000

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1881690733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179224",
            "telephone_number": "212-867-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179224",
            "telephone_number": "212-867-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Route 37 S",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "CT",
            "postal_code": "067842202",
            "country_code": "US",
            "telephone_number": "631-901-3137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOLLO",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "73586",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "190657-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "73586",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.