Individual provider Active NPI

John Andrew Grant, M.D.

  • Neurological Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1093701278
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
264268 Issued in NY
Practice address
100 Merrick Road
Suite 100W
Rockville Centre, NY 11570
Phone
(516) 632-7050
Fax
(516) 632-7074
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101282051 VA
Pediatric Surgery Physician 2086S0120X 036-084798 IL
Neurological Surgery Physician 207T00000X 264268 NY Primary
Neurological Surgery Physician 207T00000X 04-31027 KS

Addresses

Primary practice location

100 Merrick Road
Suite 100W
Rockville Centre, NY 11570

Mailing address

100 Merrick Road
Suite 100W
Rockville Centre, NY 11570
Phone (516) 632-7050

Other identifiers 4

IdentifierTypeStateIssuer
208392217MedicaidMO
513490OtherKSFIRSTGUARD
100149820DMedicaidKS
32553028OtherMOBCBS KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NY, NE, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100903000682 KS Practitioner - Neurosurgery 2365400686 Reassigns benefits to 1 organization
I20131204000394 NY Practitioner - Neurosurgery 2365400686 Reassigns benefits to 3 organizations
I20240108000549 NE Practitioner - Neurosurgery 2365400686 Reassigns benefits to 2 organizations
I20240829002437 VA Practitioner - Neurosurgery 2365400686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606

16909 Lakeside Hills CT
Omaha, NE 68130-4661

199 Mount Eden Pkwy
Bronx, NY 10457-7703

199 Mount Eden Pkwy 3
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy 3Rd
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy Floor
3 Bronx Lebanon Healthandwellness Center
Bronx, NY 10457-7703
Phone (718) 992-7669

2025 Tate Springs Rd
Lynchburg, VA 24501-1116
Phone (434) 200-2900

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-31027KSMDNeurological Surgery Physician
264268NYMDNeurological Surgery Physician
036-084798ILMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince May 1, 2012 Accepting new patients
Bronxcare Health System Neurological Surgery CurrentSince Nov 1, 2023 Accepting new patients
Bronxcare Health System Family Medicine Current Accepting new patients
Centra Medical Group, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Salina Regional Health Center, Inc Neurological Surgery CurrentSince Jul 9, 2025 Accepting new patients
Bronxcare Health System CurrentSince Nov 1, 2023 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jul 9, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince May 7, 2024 Accepting new patients
CHI Health Clinic Specialty, LLC Family Medicine CurrentSince Jan 12, 2024 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince May 7, 2024 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Nassau Health Care Corporation Past Accepting new patients
NSPC Plastics PastSince May 1, 2012 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Ste 300
Salina, KS 67401
Phone (785) 452-4930

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1991 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 442-2250

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

2025 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-2900

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jgrant3943744@nychhc.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1093701278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK ROAD",
            "address_2": "SUITE 100W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-632-7050",
            "fax_number": "516-632-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK ROAD",
            "address_2": "SUITE 100W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-632-7050",
            "fax_number": "516-632-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101282051",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IL",
            "license": "036-084798",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "264268",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "04-31027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208392217",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "513490",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100149820D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "32553028",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.