DR. GREGORY A DEVITA M.D.,F.A.C.S.
NPI 1124103007
Specialist in Great Neck, NY

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
650 NORTHERN BLVD, GREAT NECK, NY 11021(516) 466-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Gregory A Devita M.d.,f.a.c.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY A DEVITA M.D.,F.A.C.S. (NPI 1124103007) is an individual specialist in Great Neck, New York, licensed in New York (147293) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York Downstate Medical Center (1980).

NPPES Registry Identity

NPI1124103007
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GREGORY A DEVITACredential: M.D.,F.A.C.S.
Location Address650 NORTHERN BLVDGreat Neck, NY 11021-5204
Mailing Address650 Northern BlvdGreat Neck, NY 11021-5204 · (516) 466-7000
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1980
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124103007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 147293
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
650 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 3

Medicare ID-Type UnspecifiedGD075D7510NY
Medicare UPINB19214NY
Medicaid01012055NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory A Devita M.d.,f.a.c.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527108539
PECOS Enrollment IDI20110815000515
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
650 NORTHERN BLVD
GREAT NECK, NY 11021
Plastic Surgery (Plastic Surgery Within the Head and Neck)
650 NORTHERN BLVD
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
650 NORTHERN BLVD
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
650 NORTHERN BLVD
GREAT NECK, NY 11021
Specialist
650 NORTHERN BLVD
GREAT NECK, NY 11021
Specialist
650 NORTHERN BLVD
GREAT NECK, NY 11021
Plastic Surgery
650 NORTHERN BLVD
GREAT NECK, NY 11021
Plastic Surgery
650 NORTHERN BLVD
GREAT NECK, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Devita's NPI number?

The NPI number for Gregory Devita is 1124103007. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Gregory Devita located?

Gregory Devita practices at 650 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 466-7000.

What is Gregory Devita's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gregory Devita enrolled in Medicare?

Yes. Gregory Devita is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gregory Devita affiliated with any hospitals?

According to CMS data, Gregory Devita is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Gregory Devita was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.