Active NPI
Carin Hanna Gribetz, M.D.
- Dermatology Physician
- New York, NY
National Provider Identifier
1063549996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 222165
- Practice address
- 108 E 86TH St
Suite 1N
New York, NY 10028-1024 - Phone
- (212) 289-3300
- Fax
- (212) 996-5707
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 222165 | NY | Primary |
Addresses
Primary practice location
108 E 86TH St
Suite 1N
New York, NY 10028-1024
Mailing address
151 East 85TH Street,
Apt. 6E
New York, NY 10028-0208
Phone (212) 996-8761
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222165 | NY | MD | Dermatology Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1063549996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 EAST 85TH STREET,",
"address_2": "APT. 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280208",
"telephone_number": "212-996-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E 86TH ST",
"address_2": "SUITE 1N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281024",
"telephone_number": "212-289-3300",
"fax_number": "212-996-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIBETZ",
"first_name": "CARIN",
"middle_name": "HANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "222165",
"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 Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.