Individual provider Active NPI

Tom Anastasis Grantis, D.C.

  • Chiropractor
  • East Islip, NY
National Provider Identifier
1053449876
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012407-1 Issued in NY
Practice address
280 E Main St
East Islip, NY 11730-2837
Phone
(631) 224-3036
Fax
(631) 224-4764
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012407-1 NY Primary
Chiropractor 111N00000X 38MC00609500 NJ

Addresses

Primary practice location

280 E Main St
East Islip, NY 11730-2837

Mailing address

280 E Main St
East Islip, NY 11730-2837
Phone (631) 224-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000478 NY Practitioner - Chiropractic 1658358163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robin Stein DC PCGroup PAC ID 3870688039, 2 clinicians

Practice addresses (Care Compare)

280 E Main St
East Islip, NY 11730-2837
Phone (631) 224-3036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012407-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Hills Chiropractic Health Center, P.C. Chiropractor PastSince Apr 1, 2005 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1053449876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302837",
            "telephone_number": "631-224-3036",
            "fax_number": "631-224-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302837",
            "telephone_number": "631-224-3036",
            "fax_number": "631-224-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTIS",
        "first_name": "TOM",
        "middle_name": "ANASTASIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012407-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00609500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.