Active NPI
Patrick J. Grippo, D.P.M.
- Podiatrist
- Brewster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005738-1
- Practice address
- 111 Clock Tower CMNS
Brewster, NY 10509-4055 - Phone
- (845) 279-5187
- Fax
- (845) 279-5168
- NPI assigned
- Aug 28, 2006
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005738-1 | NY | Primary |
Addresses
Primary practice location
111 Clock Tower CMNS
Brewster, NY 10509-4055
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 592-4915
Other practice location 1
699 Gramatan Ave
Mount Vernon, NY 10552-1605
Phone (914) 664-2903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00321765 | Other | MEDICARE RAILROAD PTAN | |
| 02182176 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Route 52
Carmel, NY 10512-1200
Phone (845) 228-2910
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 156 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1649 |
| Removal or shaving of skin growth | 242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005738-1 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients |
Locations
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
111 Clock Tower Cmns
#22
Brewster, NY 10509
15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930
150 Route 52
Carmel, NY 10512
Phone (845) 228-2910
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Interoperability endpoints
- pgrippo@direct.health-quest.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Clinic/Center
- Brewster, NY
- NPI 1477051589
-
- Clinic/Center
- Poughkeepsie, NY
- NPI 1356840581
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1255449518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-592-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "845-279-5168"
}
],
"practiceLocations": [
{
"address_1": "699 Gramatan Ave",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "NY",
"postal_code": "105521605",
"country_code": "US",
"telephone_number": "914-664-2903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIPPO",
"first_name": "PATRICK",
"middle_name": "J.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N005738-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "P00321765",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02182176",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.