Individual provider Active NPI

Ann Marie Grogan, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1275813404
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401413 Issued in NY
Practice address
999 Blake Ave
Brooklyn, NY 11208-3535
Phone
(718) 277-8303
Fax
(718) 277-4795
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 573440 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401413 NY Primary

Addresses

Primary practice location

999 Blake Ave
Brooklyn, NY 11208-3535

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400

Other practice location 1

350 Grand St Rm 240
New York, NY 10002-4629
Phone (212) 634-7550 ext. 7556

Other practice location 2

89-44 164th St
Jamaica, NY 11432-6103
Phone (718) 523-2123

Other practice location 3

36-11 21st St
Long Island City, NY 11106-4505
Phone (718) 482-7772

Other practice location 4

1002 Westchester Avenue
Bronx, NY 10459-3204
Phone (718) 320-4466

Other practice location 5

200 Varick St
Project Renewal
New York, NY 10014-4810
Phone (646) 489-2430

Other practice location 6

1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 778-0198

Other practice location 7

2581 Atlantic Ave
Brooklyn, NY 11207-2412
Phone (718) 495-6700

Other practice location 8

504 W 158th St Fl 5
New York, NY 10032-7202
Phone (917) 521-3130

Other practice location 9

1880 Bathgate Ave
Bronx, NY 10457-6259
Phone (718) 294-5891

Other practice location 10

94-98 Manhattan Avenue
Brooklyn, NY 11206-2505
Phone (718) 388-0390

Other practice location 11

255 E Houston St
New York, NY 10002-1013
Phone (212) 477-1120

Other practice location 12

511 W 157TH St
New York, NY 10032-5058
Phone (212) 781-7979

Other practice location 13

81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140911001783 NY Practitioner - Nurse Practitioner 4789803420

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

999 Blake Ave
Brooklyn, NY 11208-3535
Phone (718) 277-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
573440NYMDRegistered Nurse
401413NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc Current Accepting new patients
Community Healthcare Network, Inc. Past Accepting new patients

Locations

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

350 Grand St
Rm 240
New York, NY 10002
Phone (212) 634-7550

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

504 W 158th St
Fl 5
New York, NY 10032
Phone (917) 521-3130

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1275813404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BLAKE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083535",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Grand St Rm 240",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024629",
            "country_code": "US",
            "telephone_number": "212-634-7550 x7556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89-44 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326103",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36-11 21st St",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111064505",
            "country_code": "US",
            "telephone_number": "718-482-7772",
            "fax_number": "718-482-9648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Westchester Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Varick St",
            "address_2": "Project Renewal",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100144810",
            "country_code": "US",
            "telephone_number": "646-489-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255417",
            "country_code": "US",
            "telephone_number": "718-778-0198",
            "fax_number": "718-221-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W 158th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100327202",
            "country_code": "US",
            "telephone_number": "917-521-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Bathgate Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104576259",
            "country_code": "US",
            "telephone_number": "718-294-5891",
            "fax_number": "718-294-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-98 Manhattan Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062505",
            "country_code": "US",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Houston St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021013",
            "country_code": "US",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 W 157TH ST",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325058",
            "country_code": "US",
            "telephone_number": "212-781-7979",
            "fax_number": "212-781-7963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 W 115th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263138",
            "country_code": "US",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "573440",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.