DR. GREGORY PATRICK JR. (NPI# 1568956027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568956027 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PATRICK JR. |
| Credential | MD |
| Practice Address |
100 Woods Rd Valhalla NY 10595-1530 |
| Mailing Address |
128 N Craig St Apt 312 Pittsburgh PA 15213-2758 |
| Practice Telephone | 9144937614 |
| Mailing Telephone | 4128487464 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 20860000 | PA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 2nd Ave, Long Branch, NJ 077406303 | 7322225200 | |
| 320 E North Ave, Pittsburgh, PA 152124772 | 4123593131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003835737 | Gregory B Patrick | Internal Medicine | 701 Broad Street, Suite 411, Sewickley, PA 15143 | 2006-07-19 |
| Street Address |
100 WOODS RD |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436802 | Nagwa S. Saleh | Radiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2005-06-10 |
| 1639779663 | Trevor Anthony Chen Jr. | Pharmacy Technician | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-28 |
| 1316544620 | Hansol Lee | Physician Assistant | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-08 |
| 1205445558 | Rizwan Amin | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1639788821 | Ailan Zhang | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1578171302 | Yarden Bornovski | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-17 |
| 1780201517 | Anita Boonyoo | Nurse Practitioner | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-27 |
| 1972129807 | Lia C Iacuone | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-16 |
| 1578187852 | Miriam Heller | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-03 |
| 1710509716 | Jennifer Zappa | Pharmacist | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466693 | Christopher J Laurie | Student in an Organized Health Care Education/Training Program | 608 Old Farm Rd Apt 608, Valhalla, NY 10595-1510 | 2020-04-16 |
| 1982223954 | Amythis Soltani | Student in an Organized Health Care Education/Training Program | 100 Woods Rd # 2, Valhalla, NY 10595-1530 | 2020-04-10 |
| 1992324917 | Ketki Sood Sood | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd # 2n-b16, Valhalla, NY 10595-1524 | 2020-04-09 |
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1346703394 | David Alec Bass | Student in an Organized Health Care Education/Training Program | 100 Woods Rd Rm E-130, Valhalla, NY 10595-1530 | 2019-04-08 |
| 1205398021 | Jason Lee | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste 2n-b24, Valhalla, NY 10595-1524 | 2019-04-01 |
| 1649756685 | Sara Akbar | Student in an Organized Health Care Education/Training Program | 100 Woods Rd Apt 3-8, Valhalla, NY 10595-1530 | 2018-07-12 |
| 1568951150 | Anum Saeed Khan | Student in an Organized Health Care Education/Training Program | Westchester Medical Center-100 Woods Road, Valhalla, NY 10585 | 2018-05-09 |
| 1255829982 | Ahsan Hussain | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste G-nb20, Valhalla, NY 10595-1524 | 2018-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.