Active NPI
Grace Crotty, MB BCH BAO MRCPI
- Neurology Physician
- Boston, MA
National Provider Identifier
1295148237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 274638
- Practice address
- 15 Parkman Street
Wang 835
Boston, MA 02114-3117 - Phone
- (617) 726-5532
- NPI assigned
- Jun 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 274638 | MA | Primary |
Addresses
Primary practice location
15 Parkman Street
Wang 835
Boston, MA 02114-3117
Mailing address
15 Parkman Street
Wang 835
Boston, MA 02114-3117
Phone (617) 726-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- gcrotty46658@tuftsmedicine.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1295148237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WANG 835",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WANG 835",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTY",
"first_name": "GRACE",
"credential": "MB BCH BAO MRCPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "274638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.