Kenneth P. Grush, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

156424 1 Issued in NY

Practice address

57 Montague Street
Apt 8a
Brooklyn, NY 11201-3358

Phone

(917) 882-3587

NPI assigned

May 10, 2006

Last updated

Apr 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1215986773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MONTAGUE STREET",
            "address_2": "APT 8A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MONTAGUE STREET",
            "address_2": "APT 8A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013358",
            "telephone_number": "917-882-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSH",
        "first_name": "KENNETH",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05061300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "156424 1",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD 014741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malky Grunzweig
• Milton Jack Grunzweig, M.D.
• Grupp II Inc.
• Grupp II Inc.
• Naava Grupper
• Aaron Grushko, RPA
• Danielle Ann Grushkovskiy, DDS
• Lisa Moed Gruson, M.D.
• Chana Baila Grussgott
• Feige Rachel Grussgott

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, 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 30, 2008; 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.