Grand Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048491 Issued in CT

Legal business name

GRAND MEDICAL LLC

Practice address

515 Higgins Rd
Cheshire, CT 06410-3326

Phone

(914) 374-3468

NPI assigned

Mar 24, 2015

Last updated

May 7, 2015By 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

Dr. Sameer Syed, MDNPI 1760647176

Title

Physician - Owner of LLC

Phone

(914) 374-3468

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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.

• Sameer Syed, M.D.

  • Internal Medicine Physician
  • Wallingford, CT
  • NPI 1760647176
  Medicare reassignment Care Compare group NPD Authorized official
• Zeba Tabassum Syed, M.D.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1801199203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1215321666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133723",
            "telephone_number": "914-374-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HIGGINS RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103326",
            "telephone_number": "914-374-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PHYSICIAN - OWNER OF LLC",
        "authorized_official_telephone_number": "914-374-3468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "048491",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "048491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Goodwin, SLP
• Dawn Marie Gordon, OTR/L
• Lauren Gorgone, LCSW
• Elizabeth Gosselin, SLP
• Amy Goyette, ST
• Brittney Gravel, OT
• Great Strides
• Donna Greenberg, APRN
• Joshua Greene, OTR
• Michelle Anita Greenlees, BCBA

• Internal Medicine Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.