Active NPI
John S Greely, M.D.
- Hospitalist Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 200383
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01592745 | Medicaid | NY |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200383 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | 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.
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- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Internal Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- New York, NY
- NPI 1942524178
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.