Provider Demographics
NPI:1578525960
Name:RAMOS, GIOVANNI GRETO (MD)
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:GRETO
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 E WOODSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1421
Mailing Address - Country:US
Mailing Address - Phone:631-475-1900
Mailing Address - Fax:570-475-1955
Practice Address - Street 1:157 E WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1421
Practice Address - Country:US
Practice Address - Phone:631-475-1900
Practice Address - Fax:631-475-1955
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419448207R00000X
NY331175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7092409OtherAETNA
77750 E465OtherGEISINGER GOLD
PA0019212380003OtherMEDICAL ASSISTANCE
1437433OtherBLUE SHIELD, BC/BS
77750 E465OtherGEISINGER HEALTH PLAN
1437433OtherFIRST PRIORITY LIFE
P00239580OtherRAILROAD MEDICARE
2121722000OtherBC/BS
002718OtherHMO
2121722000OtherBC/BS
H67166Medicare UPIN