Individual provider Active NPI

John S Greely, M.D.

  • Hospitalist Physician
  • New York, NY
National Provider Identifier
1922091842
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
200383 Issued in NY
Practice address
1090 Amsterdam Ave
4TH Floor
New York, NY 10025-1737
Phone
(212) 961-5500
Fax
(212) 531-4590
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200383 NY
Hospitalist Physician 208M00000X 200383 NY Primary

Addresses

Primary practice location

1090 Amsterdam Ave
4TH Floor
New York, NY 10025-1737

Mailing address

150 E 42ND St
FL 10
New York, NY 10017-5626
Phone (212) 961-5500

Other practice location 1

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-4000

Other practice location 2

1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000

Other practice location 3

2771 Frederick Douglass Blvd
New York, NY 10039-3027
Phone (212) 690-0303

Other identifiers 1

IdentifierTypeStateIssuer
01592745MedicaidNY

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
I20060426000090 NY Practitioner - Internal Medicine 5991715609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1090 Amsterdam Ave
New York, NY 10025-1737
Phone (212) 961-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200383NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Slrhc Faculty Practice Internal Medicine Past Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients

Locations

425 W 59th St
Ste 9C
New York, NY 10019
Phone (212) 492-5550

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1090 Amsterdam Ave
Fl 4
New York, NY 10025
Phone (212) 523-5727

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1090 Amsterdam Ave
Frnt 4
New York, NY 10025
Phone (212) 523-5725

1090 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2211

2771 Frederick Douglass Blvd
New York, NY 10039
Phone (212) 690-0303

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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.

Hospital & facility affiliations 8

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1922091842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 42ND ST",
            "address_2": "FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175626",
            "telephone_number": "212-961-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-961-5500",
            "fax_number": "212-531-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251716",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 Frederick Douglass Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100393027",
            "country_code": "US",
            "telephone_number": "212-690-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREELY",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200383",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "200383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.