Individual provider Active NPI

Gregory Beckos, ANP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1922552447
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307784 Issued in NY
Practice address
901 Classon Ave
Brooklyn, NY 11225-1006
Phone
(718) 636-4900
NPI assigned
Aug 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 628243 NY
Adult Health Nurse Practitioner 363LA2200X 307784 NY Primary

Addresses

Primary practice location

901 Classon Ave
Brooklyn, NY 11225-1006

Mailing address

901 Classon Ave
Brooklyn, NY 11225-1006
Phone (718) 636-4900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180417001374 NY Practitioner - Nurse Practitioner 4981967338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Salibs Medical Practice PCGroup PAC ID 8628319852, 4 clinicians

Practice addresses (Care Compare)

11620 Queens Blvd
Forest Hills, NY 11375-7055

11622 Queens Blvd
Forest Hills, NY 11375-7055
Phone (718) 793-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
628243NYMDMedical-Surgical Registered Nurse
307784NYMDFamily Medicine Physician

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Brookhaven Heart PLLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1922552447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CLASSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251006",
            "telephone_number": "718-636-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLASSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251006",
            "telephone_number": "718-636-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKOS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "628243",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.