Marie Alexandrine Grassetti, RN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382845 Issued in NY

Practice address

200-214 West 135TH Street
Room 007
New York, NY 10030

Phone

(646) 317-0292

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marie Alexandrine Dionne-Claycomb Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Networks

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

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1124484084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200-214 WEST 135TH STREET",
            "address_2": "ROOM 007",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10030",
            "telephone_number": "646-317-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSETTI",
        "first_name": "MARIE",
        "middle_name": "ALEXANDRINE",
        "credential": "RN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382845",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "706098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "DIONNE-CLAYCOMB",
            "middle_name": "ALEXANDRINE",
            "credential": "RN, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Graphene Physical Therapy PLLC
• Bianca Gras, LMSW
• Nicole Gras, M.D.
• Espen Nicholas Grasdal
• Donald M Grasing, LCSW
• Eve Grassfield
• Armando E Grassi, M.D.
• Benedetta Grassi
• Danielle Grassi, PA-C
• Elvira Grassia

• Pediatric Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.