Stanislav Grinberg, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

GRINS3 Issued in NY

Practice address

2279 Coney Island Ave
Suite 3B
Brooklyn, NY 11223-3337

Phone

(718) 998-9899

Fax

(718) 998-9896

NPI assigned

Dec 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1033516430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "address_2": "SUITE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9899",
            "fax_number": "718-998-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 CONEY ISLAND AVE",
            "address_2": "SUITE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9899",
            "fax_number": "718-998-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "STANISLAV",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "GRINS3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CQ CODE",
            "identifier": "GRINS3",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilona Grinberg, RD,CDN
• Irina Grinberg
• Lyudmila Grinberg, DPT
• Mikhail Grinberg, MD
• Solomon Grinberg, D.D.S
• Svetlana Grinberg, P.T.
• Leah Grinblatt
• Shayna Gringras
• Sherraine A Grinion, MA
• Regina Grinker, M.D.

• Clinical Laboratory Director (Non-physician) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Laboratory Director (Non-physician) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.