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GREGORY P DECONCILIIS P.A.-C
NPI 1366658502
Physician Assistant - Surgical in Waltham, MA

Active since May 15, 2007
840 WINTER ST., BOSTON OUT-PATIENT SURGICAL SUITES, LLC, WALTHAM, MA 02451(781) 895-4908(781) 895-4902 Get Directions Write a Review

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

About Gregory P Deconciliis P.a.-c NPPES

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

GREGORY P DECONCILIIS P.A.-C (NPI 1366658502) is an individual surgical provider in Waltham, Massachusetts, licensed in Massachusetts (1250) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366658502
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGREGORY P DECONCILIISCredential: P.A.-C
Location Address840 WINTER ST., BOSTON OUT-PATIENT SURGICAL SUITES, LLCWaltham, MA 02451
Mailing Address22 Charlemont StNewton, MA 02461-1908 · (617) 233-6804 · Fax (781) 207-0204
Phone(781) 895-4908
Fax(781) 895-4902
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366658502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · 1250
840 WINTER ST., Waltham, MA 02451
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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 Deconciliis's NPI number?

The NPI number for Gregory Deconciliis is 1366658502. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Gregory Deconciliis located?

Gregory Deconciliis practices at 840 Winter St. Boston Out-Patient Surgical Suites, LLC, Waltham, MA 02451. The listed phone number is (781) 895-4908.

What is Gregory Deconciliis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gregory Deconciliis 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.