Jerry Anthony Gregory in Staten Island - Physician Assistant
Jerry Anthony Gregory - NPI 1316055296
Jerry Anthony Gregory is a Physician Assistant in Staten Island, New York. Jerry Anthony Gregory practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerry Anthony Gregory is 1316055296. The last update date is 2018-09-21.
Jerry Anthony Gregory's current location address is 375 Seguine Ave, Staten Island, New York. You can contact this provider via phone number 6466802888 and fax number 5165425556. The mailing address for Jerry Anthony Gregory is 375 Seguine Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Anthony Gregory |
|---|---|
| Address | 375 Seguine Ave, Staten Island, New York |
| Phone Number | 6466802888 |
| Fax Number | 5165425556 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316055296 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2018-09-21 |
Provider Mailing Address Detail
| Address | 375 Seguine Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103093932 |
| Phone Number | 6466802888 |
| Fax Number | 5165425556 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 14368 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Jerry Anthony Gregory by the Centers for Medicare & Medicaid Services?
The Jerry Anthony Gregory has been assigned the NPI (National Provider Identifier) 1316055296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry Anthony Gregory's physical address?
The Jerry Anthony Gregory is physically located at 375 Seguine Ave, in the city of Staten Island, NY, with the postal code 103093932.
What is Jerry Anthony Gregory's area of expertise and its corresponding taxonomy classification?
The Jerry Anthony Gregory's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316055296 to Jerry Anthony Gregory?
The Centers for Medicare & Medicaid Services originally issued the 1316055296 to Jerry Anthony Gregory on 2006-08-29.
As of what date were the details pertaining to Jerry Anthony Gregory last refreshed?
The information related to the Jerry Anthony Gregory, including its address, specialty, and other relevant details, was last updated on 2018-09-21.