Individual provider Active NPI

Tal Grunwald, M.D.

  • Pediatric Endocrinology Physician
  • Wilmington, DE
National Provider Identifier
1285954560
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD447800 Issued in PA
Practice address
1600 Rockland Rd
Nemours a.I. Dupont Hospital for Children
Wilmington, DE 19803-3607
Phone
(302) 651-4000
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C10011904 DE
Pediatrics Physician 208000000X MD447800 PA
Pediatric Endocrinology Physician 2080P0205X C10011904 DE
Pediatric Endocrinology Physician 2080P0205X MD447800 PA Primary

Addresses

Primary practice location

1600 Rockland Rd
Nemours a.I. Dupont Hospital for Children
Wilmington, DE 19803-3607

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200

Other practice location 1

3855 W Chester Pike Ste 280
Newtown Square, PA 19073-2304
Phone (610) 557-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170523000915 DE Practitioner - EndocrinologyPractitioner - Pediatric Medicine 0840567830 Reassigns benefits to 1 organization
I20170614000902 NJ Practitioner - EndocrinologyPractitioner - Pediatric Medicine 0840567830 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10011904DEMDPediatrics Physician
MD447800PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Apr 18, 2017 Accepting new patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Jun 5, 2017 Accepting new patients
The Nemours Foundation CurrentSince Apr 18, 2017 Accepting new patients
Cooper Pediatric Specialists, PC Pediatrics CurrentSince Apr 9, 2017 Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

3855 West Chester Pike
Ste 280
Newtown Square, PA 19073
Phone (610) 557-4800

Interoperability endpoints

  • Direct secure messaging: tgrunwald26991@direct.nemours.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1285954560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "address_2": "NEMOURS A.I. DUPONT HOSPITAL FOR CHILDREN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 W Chester Pike Ste 280",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732304",
            "country_code": "US",
            "telephone_number": "610-557-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNWALD",
        "first_name": "TAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10011904",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD447800",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "DE",
            "license": "C10011904",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "MD447800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.