Individual provider Active NPI

Jaskaran Grewal, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1053808535
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
315034-01 Issued in NY
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
315034NYMDLicensed Practical Nurse
A182843CAMDPsychiatry Physician
315034-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Mekles MD PC Psychiatry CurrentSince Sep 14, 2025 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.

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.

Verify at the official NPI Registry.