Organization Active NPI

Grand Medical Services, PC

  • Gastroenterology Physician
  • Baldwin, NY
National Provider Identifier
1023288149
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
184350 Issued in NY
Legal business name
GRAND MEDICAL SERVICES, PC
Practice address
2280 Grand Ave Ste 303
Baldwin, NY 11510-3110
Phone
(516) 771-4971
Fax
(516) 771-2758
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonya S Ventour, MD
Title
President
Phone
(516) 771-4971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 184350 NY Primary

Addresses

Primary practice location

2280 Grand Ave Ste 303
Baldwin, NY 11510-3110

Mailing address

2280 Grand Ave Ste 303
Baldwin, NY 11510-3110
Phone (516) 771-4971

National Provider Directory

National Provider Directory

Locations

2280 Grand Ave
Ste 303
Baldwin, NY 11510
Phone (516) 771-2758

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1023288149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE STE 303",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103110",
            "telephone_number": "516-771-4971",
            "fax_number": "516-771-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE STE 303",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103110",
            "telephone_number": "516-771-4971",
            "fax_number": "516-771-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "VENTOUR",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-771-4971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "184350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.