Active NPI
Jaskaran Grewal, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1053808535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 315034-01
- Practice address
- 385 5TH Ave RM 1106
New York, NY 10016-3340 - Phone
- (917) 391-0076
- Fax
- (917) 477-8649
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A182843 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 315034-01 | NY | Primary |
Addresses
Primary practice location
385 5TH Ave RM 1106
New York, NY 10016-3340
Mailing address
433 River Rd Apt 1219
Highland Park, NJ 08904-1941
Phone (661) 645-1278
Other practice location 1
23861 McBean Pkwy Ste B18
Valencia, CA 91355-4456
Phone (661) 288-7978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315034 | NY | MD | Licensed Practical Nurse |
| A182843 | CA | MD | Psychiatry Physician |
| 315034-01 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd Mekles MD PC | Psychiatry | Current | Accepting new patients |
Locations
353 Lexington Ave
Rm 800
New York, NY 10016
Phone (917) 391-0076
Organizations & group practices 1
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1639050289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1053808535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 RIVER RD APT 1219",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041941",
"telephone_number": "661-645-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 5TH AVE RM 1106",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163340",
"telephone_number": "917-391-0076",
"fax_number": "917-477-8649"
}
],
"practiceLocations": [
{
"address_1": "23861 McBean Pkwy Ste B18",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913554456",
"country_code": "US",
"telephone_number": "661-288-7978",
"fax_number": "661-288-7903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREWAL",
"first_name": "JASKARAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A182843",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "315034-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.