Katherine Wargo Gruskay, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9928 Issued in CT

Practice address

682 E Main St
Branford, CT 06405-2907

Phone

(203) 481-5591

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.gruskay.npi1053840546.phpct@direct.optumcare.masshiway.net

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.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• Scottsdale Physicians Group PLC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1689799579
  Medicare reassignment NPD
• United Telehealth Corp

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1760036966
  Medicare reassignment NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Branford North Branford Pediatrics,PC

  • Pediatric Adolescent Medicine Physician
  • North Branford, CT
  • NPI 1619186574

  Pediatrics

  NPD (past)
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Pediatrics

  NPD (past)
• Shoreline Pediatrics & Adolescent Medicine, P.C.

  • Pediatric Adolescent Medicine Physician
  • Madison, CT
  • NPI 1538126941
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1053840546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052907",
            "telephone_number": "203-481-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052907",
            "telephone_number": "203-481-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100352231",
            "country_code": "US",
            "telephone_number": "860-304-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUSKAY",
        "first_name": "KATHERINE",
        "middle_name": "WARGO",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.129329",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "71152",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "9928",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Gratrix, L.C.S.W.
• Jordan A. Greenberg, DDS
• Gloria Greenidge, LCSW
• Mallory Anne Grimste, LCSW
• Jordan A Gruskay, M.D.
• Lucy Ling Gu, PHD
• Louis Guerrera Jr., RN
• Terea Wooster Guimaraes, APRN
• Elizabeth Haas, MSW
• Maria Hacker, DMD

• Pediatric Nurse Practitioner in Branford, CT
• Providers in Branford, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.