Gregory R Brevetti, M.D, PC.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

GREGORY R BREVETTI, M.D, PC.

Practice address

8318 4TH Ave
Brooklyn, NY 11209-4413

Phone

(718) 748-0500

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Mary Legg

Title

Credentialing Coordinator

Phone

(347) 584-8903

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory R. Brevetti, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1619954435
  Medicare reassignment NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1962027078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094413",
            "telephone_number": "718-748-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094413",
            "telephone_number": "718-748-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R BREVETTI, M.D, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "LEGG",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "347-584-8903"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1619954435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Amante DPM, PC
• Gregory Birch D.P.M
• Gregory Girshin MD LLC
• Gregory J Haskin DDS PC
• Gregory M. Birch DPM
• Gregory Suprin MD PLLC
• Gregory Suprin MD PLLC
• Aschel Lane Gregory
• Bijumon Kezhaplackal Gregory
• Charissa Gregory, DO

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.