Active NPI
Manpreet Grewal, M.D
- Psychiatry Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 276979
- Practice address
- 105 Marys Ave
Kingston, NY 12401-5848 - Phone
- (734) 756-5066
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 276979 | NY | Primary |
Addresses
Primary practice location
105 Marys Ave
Kingston, NY 12401-5848
Mailing address
105 Marys Ave
Kingston, NY 12401-5848
Phone (734) 756-5066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225000040 | NY | Practitioner - Psychiatry | 4183929409 | Reassigns benefits to 3 organizations |
| I20210127002185 | MI | Practitioner - Psychiatry | 4183929409 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New Horizon Counseling Center Inc
Practice addresses (Care Compare)
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
Phone (718) 845-2620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276979 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children'S Services, Inc | Current | Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Psychiatry | Current | Accepting new patients |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Current | Accepting new patients | |
| Family Services, Inc. | Psychiatry | Current | Accepting new patients |
| Texas San Marcos Treatment Center, LP | Psychiatry | Past | Accepting new patients |
Locations
20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925
5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300
2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122
3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
445 Oak St
Copiague, NY 11726
Phone (631) 257-5173
29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110
239 Golden Hill Ln
Saint Remy, NY 12401
Phone 84534040004189
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NY
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
NY, Psychiatry
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
NY
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821273459
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1013200161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015848",
"telephone_number": "734-756-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015848",
"telephone_number": "734-756-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "MANPREET",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "276979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.