Steven Grenell MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

152900-1 Issued in NY

Legal business name

STEVEN GRENELL MD PC

Practice address

3975 Sedgwick Ave Apt 1F
Bronx, NY 10463-3146

Phone

(718) 796-3100

Fax

(718) 796-1288

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steven L Grenell, M.D.

Title

Owner

Phone

(718) 796-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1205105533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 SEDGWICK AVE APT 1F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633146",
            "telephone_number": "718-796-3100",
            "fax_number": "718-796-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 SEDGWICK AVE APT 1F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633146",
            "telephone_number": "718-796-3100",
            "fax_number": "718-796-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN GRENELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "GRENELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-796-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "152900-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adebola Stevens, RN
• Alexis Stevens
• Crystal Stevens

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.