Andrei A Grun

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043068 Issued in NY

Practice address

951 Prospect Ave
Bronx, NY 10459-2967

Phone

(718) 860-8440

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1275698722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 E 82ND ST",
            "address_2": "APT 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592967",
            "telephone_number": "718-860-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUN",
        "first_name": "ANDREI",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Grullon
• Vladimir Grullon, MS CCC-SLP
• Yanely Elaine Grullon, LMHC
• Zariel Carmen Grullon, RD
• Zuleyka A Grullon, LCSW
• Deborah Grun, RN, FNP
• Gregory E Grunberg, MD
• Michael Jason Grushko, MD
• Konrad Izumi Gruson, M.D.
• Katherine Grygierczyk, DDS

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.