Promed Preferred WV Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED PREFERRED WV PROFESSIONAL CORPORATION

Practice address

1314 54TH St
Brooklyn, NY 11219-4219

Phone

(615) 499-3165

NPI assigned

Jul 24, 2025

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lev Grinman, MD

Title

President

Phone

(615) 499-3165

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Arinn Gustin, APRN

  • Family Nurse Practitioner
  • New Martinsville, WV
  • NPI 1548149487
  NPD
• Frank Suppa, D.O

  • Family Medicine Physician
  • Far Rockaway, NY
  • NPI 1700199213
  NPD (past)

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1295617645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S OYSTER BAY RD # 2059",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 54TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194219",
            "telephone_number": "615-499-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PREFERRED WV PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-499-3165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promed Personnel Services
• Promed Preferred de, P.a.
• Promed Preferred PA 5 Professional Corporation
• Promed Preferred TX 5, PLLC
• Promed Preferred VA Professional Corporation
• Promeda Medical and Diagnostics, P.C.
• Prominis Medical Services PC
• Promising Pebbles Inc.
• Prompt Interventional Services, Inc.
• Prompt Medical Group, Inc

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.