GRAND CENTRAL MEDICAL P.C. (NPI# 1447506225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447506225 |
| Entity Type | Organization |
| Organization Name | GRAND CENTRAL MEDICAL P.C. |
| Practice Address |
18 E 41st St Suite 406 New York NY 10017-6222 |
| Practice Telephone | 6466924080 |
| Mailing Telephone | 6466924080 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MS. HYOUNJOO CHO (MANAGER) |
| Authorized Official Telephone | 9178285711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
145071 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
18 E 41ST ST SUITE 406 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033134549 | Ashley Rae Boyle | Physical Therapist | 18 E 41st St, Suite 402, New York, NY 10017-6222 | 2006-07-13 |
| 1700327483 | Aas Physiatry, PC | Physical Medicine & Rehabilitation | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2017-03-15 |
| 1407211097 | Back To Form Physical Therapy, PC | Physical Therapist | 18 E 41st St, Suite 406, New York, NY 10017-6222 | 2015-12-23 |
| 1023486610 | Kimberly Meehan | Psychiatry & Neurology | 18 E 41st St, Fl 14 C/o Lina, New York, NY 10017-6244 | 2015-09-13 |
| 1740601160 | Jeannette Zucker | Physical Therapist | 18 E 41st St, Suite 402, New York, NY 10017-6222 | 2014-01-02 |
| 1306180591 | Kara Darcy Mceneaney | Occupational Therapist | 18 E 41st St, 14th Floor, New York, NY 10017-6222 | 2012-11-12 |
| 1750664066 | Antoinette Eileen Brown | Registered Nurse | 18 E 41st St, 14th Floor, New York, NY 10017-6222 | 2011-09-22 |
| 1730470865 | Lora Liu | Obstetrics & Gynecology | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2011-04-24 |
| 1043500218 | Carolyn Thompson Chudy | Physical Medicine & Rehabilitation | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2011-04-08 |
| 1174821748 | Tuere Wilson | Licensed Practical Nurse | 18 E 41st St, 14th Fl., New York, NY 10017-6222 | 2011-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1225490477 | Lawrence Franklin Braly | Internal Medicine | 114 Horatio St, 310, New York, NY 10014-1574 | 2016-03-27 |
| 1740693589 | Yaniuska Lescaille | Internal Medicine | 630 W 168th St Rm P&s3-401, New York, NY 10032-3725 | 2014-06-10 |
| 1003233966 | Kohtaro Ooka | Internal Medicine | 530 1st Ave # Hcc4g, New York, NY 10016-6402 | 2014-03-27 |
| 1700201449 | Centre Street Surgery Pllc | Internal Medicine | 139 Centre St Ste 609, New York, NY 10013-4556 | 2014-03-04 |
| 1063844256 | John Chi To Wong | Internal Medicine | 1233 York Ave Apt 15p, New York, NY 10065-6342 | 2013-07-30 |
| 1851735419 | Jonathan Dov Weinberger | Internal Medicine | 145 E 32nd St Fl 3, New York, NY 10016-6055 | 2013-04-24 |
| 1043585227 | Jordan Eric Axelrad | Internal Medicine | 240 E 38th St Fl 23, New York, NY 10016 | 2012-03-20 |
| 1841562758 | Aaa Gastrointestinal PC | Internal Medicine | 499 Fort Washington Ave, Suite Pe1c, New York, NY 10033 | 2012-02-08 |
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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.