Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory P Deconciliis, PA-C

Individual provider Surgical Physician Assistant · NPI 1366658502

Gregory P Deconciliis, PA-C is a Surgical Physician Assistant in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

840 Winter St Boston Out-Patient Surgical Suites Llc
Waltham, MA 02451
Phone: (781) 895-4908
Fax: (781) 895-4902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1250 (MA)

Record details

NPI number1366658502
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007

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