John J Grillo Physicians, P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

180759 Issued in NY

Legal business name

JOHN J GRILLO PHYSICIANS, P.C.

Practice address

75 W End Ave Apt P37C
New York, NY 10023-7881

Phone

(917) 693-2619

Fax

(718) 217-2896

NPI assigned

Apr 18, 2012

Last updated

Apr 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John J Grillo, M.D.NPI 1104919265

Title

Anesthesiologist

Phone

(917) 693-2619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Grillo, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1104919265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1164789939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WESTEND AVENUE",
            "address_2": "APT #P33C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "917-693-2619",
            "fax_number": "718-217-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W END AVE APT P37C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237881",
            "telephone_number": "917-693-2619",
            "fax_number": "718-217-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J GRILLO PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "917-693-2619",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "180759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.