Active NPI
Timothy Bryan Greco
- Psychiatric/Mental Health Nurse Practitioner
- Amherst, NY
National Provider Identifier
1942911714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404534
- Practice address
- 1408 Sweet Home Rd Ste 1
Amherst, NY 14228-2783 - Phone
- (716) 481-0857
- NPI assigned
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404534 | NY | Primary |
Addresses
Primary practice location
1408 Sweet Home Rd Ste 1
Amherst, NY 14228-2783
Mailing address
1793 Military Rd
Kenmore, NY 14217-1032
Phone (716) 481-0857
Other practice location 1
1793 Military Rd
Kenmore, NY 14217-1032
Phone (716) 481-0857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404534 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy Greco NP in Psychiatry LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Buffalo, NY
- NPI 1437848371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685145600000",
"number": "1942911714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 MILITARY RD",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171032",
"telephone_number": "716-481-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 SWEET HOME RD STE 1",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282783",
"telephone_number": "716-481-0857"
}
],
"practiceLocations": [
{
"address_1": "1793 Military Rd",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142171032",
"country_code": "US",
"telephone_number": "716-481-0857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRECO",
"first_name": "TIMOTHY",
"middle_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2023-05-27",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.