Individual provider Active NPI

Grace Ivey, NP, RN

  • Family Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1043555865
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349788 Issued in NY
Practice address
6111 Queens Blvd
Woodside, NY 11377-4965
Phone
(718) 205-0287
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349788 NY Primary
Registered Nurse 163W00000X 643179 NY

Addresses

Primary practice location

6111 Queens Blvd
Woodside, NY 11377-4965

Mailing address

6111 Queens Blvd
Woodside, NY 11377-4965
Phone (718) 205-0287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001733 NY Practitioner - Nurse Practitioner 2769863794 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammad Aalai Medical PLLCGroup PAC ID 1254743115, 5 clinicians
Py Medical Services of Ny PLLCGroup PAC ID 8921476391, 16 clinicians

Practice addresses (Care Compare)

135 Linden Blvd
Brooklyn, NY 11226-3302
Phone (703) 298-6214

6111 Queens Blvd
Flushing, NY 11377-4965
Phone (718) 205-0287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
643179NYMDRegistered Nurse
349788NYMDHospice and Palliative Medicine (Internal Medicine) Physician
F349788NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince Jun 26, 2023 Accepting new patients
Lefferts Medical Associates PC CurrentSince Jun 1, 2022 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Feb 1, 2025 Accepting new patients
Mohammad Aalai Medical PLLC CurrentSince Jul 15, 2025 Accepting new patients
Peyman Younesi MD PLLC Past Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

135 Linden Blvd
Brooklyn, NY 11226
Phone (718) 576-7000

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

7801 Myrtle Ave
Ste B
Glendale, NY 11385
Phone (718) 386-8300

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

808 Hicksville Rd
Ste 101
Massapequa, NY 11758
Phone (516) 597-4242

808 Hicksville Rd
#A
Massapequa, NY 11758
Phone (516) 597-4242

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

27005 76th Ave
North New Hyde Pk, NY 11040

140 Beach 113th St
Rockaway Park, NY 11694
Phone (516) 833-7469

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

6111 Queens Blvd
Woodside, NY 11377
Phone (718) 205-0287

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1043555865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774965",
            "telephone_number": "718-205-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774965",
            "telephone_number": "718-205-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349788",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.