Active NPI
Eli Grunstein, M.D.
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 228604
- Practice address
- 3959 Broadway
5TH Floor Room 501N
New York, NY 10032-1559 - Phone
- (212) 305-8933
- Fax
- (212) 342-6401
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 228604 | NY | |
| Otolaryngology Physician | 207Y00000X | 228604 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
5TH Floor Room 501N
New York, NY 10032-1559
Mailing address
3959 Broadway
5TH Floor Room 501N
New York, NY 10032-1559
Phone (212) 305-8933
Other practice location 1
3959 Broadway
5th Floor Room 501N
New York, NY 10032-1559
Phone (212) 305-8933
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228604 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415
3959 Broadway
Rm 501
New York, NY 10032
180 Fort Washington Ave
Rm 742
New York, NY 10032
180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535
3959 Broadway
Fl 5
New York, NY 10032
Phone (212) 305-8933
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
180 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-5242
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- elg9009@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Otolaryngology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Otolaryngology
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295871879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "5TH FLOOR ROOM 501N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-8933",
"fax_number": "212-342-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "5TH FLOOR ROOM 501N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-8933",
"fax_number": "212-342-6401"
}
],
"practiceLocations": [
{
"address_1": "3959 Broadway",
"address_2": "5th Floor Room 501N",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321559",
"country_code": "US",
"telephone_number": "212-305-8933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUNSTEIN",
"first_name": "ELI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "228604",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "228604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.