GRAND STREET MEDICINE & REHABILITATION P C (NPI# 1447381538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447381538 |
| Entity Type | Organization |
| Organization Name | GRAND STREET MEDICINE & REHABILITATION P C |
| Practice Address |
460 Grand St New York NY 10002-4058 |
| Practice Telephone | 2125390257 |
| Practice Fax Number | 2126774853 |
| Mailing Telephone | 2125390257 |
| Mailing Fax Number | 2126774853 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | TANYA GLIPONEO (MEDICAL BILLER) |
| Authorized Official Telephone | 2125390257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
148797 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
460 GRAND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558905745 | Back To Life Pt PC | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2019-10-31 |
| 1255987236 | Shraddhali Ravindra Sawant | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2019-08-14 |
| 1932755253 | Leeroy Jaire Raimundo | Chiropractor | 460 Grand St, New York, NY 10002-4058 | 2019-08-13 |
| 1932693546 | Khaled Mostafa Abozeid | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2018-06-18 |
| 1083106207 | Muhammad Shoaib | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2018-06-04 |
| 1588155519 | Bhavikaben Rasikbhai Prajapati | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2018-05-25 |
| 1598188005 | Comprehensive Evaluation Services Pllc | Psychologist | 460 Grand St, New York, NY 10002-4058 | 2014-02-04 |
| 1144539032 | Lea B Martinez | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2010-09-27 |
| 1033421003 | Maria Kristie Daa Guillera | Physical Therapist | 460 Grand St, New York, NY 10002 | 2010-07-07 |
| 1225360779 | Prinz Acaling | Physical Therapist | 460 Grand St, New York, NY 10002-4058 | 2010-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
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| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932342912 | Chelsea West Physical Therapy Pllc | Physical Medicine & Rehabilitation | 134 W 29th St Rm 1008, New York, NY 10001-5663 | 2009-04-07 |
| 1306082045 | Jignyasa Desai | Physical Medicine & Rehabilitation | 32 West 38 Th Street Suite 501, New York, NY 10001 | 2008-12-31 |
| 1003051251 | Helen Suguitan Oller | Physical Medicine & Rehabilitation | 506 Lenox Ave Rm 3123, New York, NY 10037-1802 | 2008-12-02 |
| 1306010129 | Thomas Sunil Mathew | Physical Medicine & Rehabilitation | 265 Madison Ave, 4th Floor, New York, NY 10016 | 2008-04-14 |
| 1366624793 | New York Neuro Rehabilitation Group Pllc | Physical Medicine & Rehabilitation | 508 W 26th St, 10 Floor, New York, NY 10001-5504 | 2007-11-27 |
| 1982801874 | Pradeep Penta | Physical Medicine & Rehabilitation | 317 E 34th St Fl 9, Murray Hill Medical Group, New York, NY 10016-4974 | 2007-07-02 |
| 1952506792 | Grand Central Physical Medicine&rehabilitation PC | Physical Medicine & Rehabilitation | 315 Madison Ave Rm 702, New York, NY 10017-5434 | 2007-06-20 |
| 1295886612 | Dmitry Konstantinovich Nesen | Physical Medicine & Rehabilitation | 1420 York Ave Apt 1a, New York, NY 10021-3150 | 2007-01-13 |
| 1992712640 | Alicia R Carter | Physical Medicine & Rehabilitation | 425 Madison Ave Fl 11, New York, NY 10017-1134 | 2006-08-02 |
| 1770590929 | Joel Press | Physical Medicine & Rehabilitation | 429 East 75th Street, 3rd Floor, New York, NY 10021 | 2006-08-01 |
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| 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.