Promed Preferred Ma 3 PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED PREFERRED MA 3 PLLC

Practice address

20 Rita Ave Unit 201
Monsey, NY 10952-2693

Phone

(615) 499-3165

NPI assigned

Aug 26, 2025

Last updated

Aug 26, 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, MDNPI 1457511743

Title

President

Phone

(615) 499-3165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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.

• Nadege Tan, N.P.

  • Nurse Practitioner
  • Braintree, MA
  • NPI 1760732127
  Medicare reassignment NPD
• Lev Grinman, M.D.

  • Neurology Physician
  • Paramus, NJ
  • NPI 1457511743
  NPD (past) Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1306724307",
    "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": "20 RITA AVE UNIT 201",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522693",
            "telephone_number": "615-499-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PREFERRED MA 3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "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": []
}

• Sharon Prager- Gold, OTR/L
• Alana Praver, M.A. ED./SP.ED.
• Paul-Sholom Marshall Praver, SLP
• Richard L Price, MD
• Primary Eyecare Optometry PC
• Cynthia Puccio, MA, LCSW, PHD
• QHC Upstate Medical, P.C.
• David Quinones, LMSW
• Allyn Faye Quitos
• Kaitlyn Ragoo, MS, BCBA, LBA

• Internal Medicine Physician in Monsey, NY
• Providers in Monsey, 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 Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.