DR. LISA KIM ELLMAN-GRUNTHER (NPI# 1336107325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336107325 |
| Entity Type | Individual |
| Full Name | DR. LISA KIM ELLMAN-GRUNTHER |
| Credential | M.D. |
| Practice Address |
115 Broadway Ste 1800 New York NY 10006-1652 |
| Mailing Address |
Po Box 11205 Fairfield NJ 07004-7205 |
| Practice Telephone | 6468542003 |
| Practice Fax Number | 6464937299 |
| Mailing Telephone | 6468542003 |
| Mailing Fax Number | 6464937299 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
25MMAO7471600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8970700 | 05 |
| Street Address |
115 BROADWAY STE 1800 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003731 | Princess Diane E Manuel | Social Worker | 115 Broadway, New York, NY 10006-1604 | 2019-09-26 |
| 1669953550 | New York Specialty Care LLC | Anesthesiology | 115 Broadway, Ste 1800 Ofc 40, New York, NY 10006-1652 | 2018-08-28 |
| 1699275297 | Connect Health Chiropractic PC | Chiropractor | 115 Broadway, Suite 1800, New York, NY 10006 | 2018-02-20 |
| 1114283207 | Anne Roderick | Nurse Practitioner | 115 Broadway, Suite 1300, New York, NY 10006 | 2012-04-03 |
| 1740559012 | Trifecta Health Medical PC | Clinic/Center | 115 Broadway, Ste. 1300, New York, NY 10006-1604 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720256639 | Michael L Lewin Md PC | Allergy & Immunology | 109 E 61st St, New York, NY 10065-8101 | 2008-02-13 |
| 1720161367 | Gillian Mary Shepherd | Allergy & Immunology | 235 E 67th St Rm 203, New York, NY 10021-6040 | 2006-10-24 |
| 1336222165 | Mariana Marcu | Allergy & Immunology | 30e 40th St 802, New York, NY 10016-1201 | 2006-10-23 |
| 1992895411 | Abraham Yurkofsky | Allergy & Immunology | 250 West 57th St, Suite 1231, New York, NY 10019 | 2006-10-13 |
| 1508871450 | Wellington Shelton Tichenor | Allergy & Immunology | 642 Park Ave, New York, NY 10021-6105 | 2006-07-29 |
| 1750302410 | David Stephen Mazza | Allergy & Immunology | 7 Lexington Avenue, Suite 3, New York, NY 10010-5530 | 2006-07-21 |
| 1770540403 | Paul M Ehrlich | Allergy & Immunology | 35 East 35th St, #202, New York, NY 10016 | 2006-04-27 |
| 1598761819 | Samuel Grubman | Allergy & Immunology | 154 W 14th St Fl 4, New York, NY 10011-7330 | 2005-06-22 |
| 1255982542 | Marcus Avenue Medical PC | Allergy & Immunology | 232 E 30th St, New York, NY 10016-8202 | 2019-09-27 |
| 1902230808 | Hemant Patel Physicians Pllc | Allergy & Immunology | 33 W 125th St, New York, NY 10027-4512 | 2013-08-27 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on DR. LISA KIM ELLMAN-GRUNTHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.