Healthcare Provider Details

I. General information

NPI: 1841486222
Provider Name (Legal Business Name): GREGORY ARAN MAGEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 1ST AVE FL 11
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

PO BOX 31309
LOS ANGELES CA
90031-0309
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7311
  • Fax: 212-263-7472
Mailing address:
  • Phone: 323-442-5849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA102819
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number336941
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: