Irene Grysman, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340450 Issued in NY

Practice address

7648 173Rd St
Flushing, NY 11366-1430

Phone

(718) 480-4026

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174652333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7648 173RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661430",
            "telephone_number": "718-480-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 173RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661430",
            "telephone_number": "718-480-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYSMAN",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Aliza Grossman, MS, CCC-SLP
• Melissa Grossman
• Grow and Develop With Inessa LLC
• Hannah Rose Gruber
• Benjamin Zvi Grysman, PHD
• Gu & Gao Medical PLLC
• Catherine Gu
• Irene Gu
• Kangxia Gu, MD
• Wei Gu, FNP

• Gerontology Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.