Active NPI
Darrell Grennock, LPN
- Chore Provider
- Laurelton, NY
National Provider Identifier
1225416530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 291286-1
- Practice address
- 13548 232ND St
Laurelton, NY 11413-2536 - Phone
- (718) 506-8221
- NPI assigned
- May 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 291286-1 | NY | Primary |
Addresses
Primary practice location
13548 232ND St
Laurelton, NY 11413-2536
Mailing address
13548 232ND St
Laurelton, NY 11413-2536
Phone (718) 506-8221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291286-1 | NY | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1225416530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13548 232ND ST",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132536",
"telephone_number": "718-506-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13548 232ND ST",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132536",
"telephone_number": "718-506-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENNOCK",
"first_name": "DARRELL",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NY",
"license": "291286-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurelton, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.