Grand Medical Group PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

219115 Issued in NY

Legal business name

GRAND MEDICAL GROUP PC

Practice address

457 FDR Dr
New York, NY 10002-5954

Phone

(212) 260-0690

Fax

(212) 254-4694

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Alla Savransky, MDNPI 1336295104

Title

President

Phone

(212) 260-0690

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alla Savransky, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1336295104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1124107438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 FDR DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025954",
            "telephone_number": "212-260-0690",
            "fax_number": "212-254-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 FDR DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025954",
            "telephone_number": "212-260-0690",
            "fax_number": "212-254-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "SAVRANSKY",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-260-0690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219115",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "219115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Central Podiatric Care and Surgery
• Grand Central Psychology PLLC
• Grand Cornell Cardiology PC
• Grand Fashion Optical, Inc
• Grand Health Pharmacy Inc
• Grand Meridian, Inc.
• Grand Optical
• Grand Rehab Medical
• Grand Street Pharmaceutical LLC (Buy-Rite Pharmacy IV)
• Grand Street Pharmaceutical LLC (Buy Rite Pharmacy IV)

• Primary Care Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.