Robert Griswold, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33790 Issued in NY

Practice address

1145 Targee St
Staten Island, NY 10304-4323

Phone

(718) 667-4800

Fax

(718) 667-7292

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083744270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MADA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044323",
            "telephone_number": "718-667-4800",
            "fax_number": "718-667-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Grippo
• Danielle Grippo, MS, NCC
• Matthew Grisaffi, RN
• Alexandra Marie Grisanti
• Margaret Mary Griswold, RN
• Rebecca Anna Gritz, OTR/L
• Richard Stephen Grodman, M.D.
• Janice Claire Gross, L.C.S.W.
• Jonathan Gross, MD
• Nechama Gross

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.