Active NPI
Grant Sewell, MD
- Family Medicine Physician
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34294
- Practice address
- 1001 W Main St Ste B
Freehold, NJ 07728-2579 - Phone
- (732) 294-2540
- Fax
- (732) 409-2621
- NPI assigned
- Jul 20, 2015
- Last updated
- Jul 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34294 | OK | Primary |
Addresses
Primary practice location
1001 W Main St Ste B
Freehold, NJ 07728-2579
Mailing address
38014 E 113TH St S
Coweta, OK 74429-3641
Phone (918) 606-4312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311
9048 Sugar Estate
St Thomas, VI 00802-3634
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golding Granado Medical Associates | Past | Accepting new patients |
Interoperability endpoints
- hackensackmeridian.grantsewell@136290.advancedmd-direct.com
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.
-
dba Schneider Regional Medical Center
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
- Internal Medicine Physician
- Shrewsbury, NJ
- NPI 1427243443
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Schneider Regional Medical Center
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1063897023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38014 E 113TH ST S",
"city": "COWETA",
"state": "OK",
"postal_code": "744293641",
"telephone_number": "918-606-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W MAIN ST STE B",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282579",
"telephone_number": "732-294-2540",
"fax_number": "732-409-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "GRANT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "34294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
- 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.