Organization Active NPI

Neena Grewal MD LLC

  • Internal Medicine Physician
  • Stony Point, NY
National Provider Identifier
1255689816
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157707 Issued in NY
Legal business name
NEENA GREWAL MD LLC
Practice address
9 Liberty Square
Stony Point, NY 10980-2400
Phone
(845) 942-0700
Fax
(845) 786-4003
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Neena Grewal, M.D.NPI 1366410938
Title
Member
Phone
(845) 304-7304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157707 NY Primary

Addresses

Primary practice location

9 Liberty Square
Stony Point, NY 10980-2400

Mailing address

9 Liberty Square
Stony Point, NY 10980-2400
Phone (845) 942-0700

Other names 1

  • Neena Grewal MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121026000201 NY Part B Supplier - Clinic/Group Practice 0446400543 Receives reassigned benefits from 1 practitioner
Practice locations: Stony Point, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0866082Neena Grewal MD9 Liberty Square Mall, Stony Point, NY 10980Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

9 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 942-0700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1255689816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIBERTY SQUARE",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802400",
            "telephone_number": "845-942-0700",
            "fax_number": "845-786-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIBERTY SQUARE",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802400",
            "telephone_number": "845-942-0700",
            "fax_number": "845-786-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEENA GREWAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-304-7304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "157707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neena Grewal MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stony Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.