Lisa Kim Ellman-Grunther, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

25MMAO7471600 Issued in NJ

Practice address

150 Broadway RM 713
New York, NY 10038-4334

Phone

(646) 854-3002

Fax

(646) 493-7299

NPI assigned

May 2, 2006

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Albert Einstein College of Medicine of Yeshiva University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: lellman@direct.nyee-provider.mountsinai.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory Levitin MD PC

  • Otolaryngology Physician
  • New York, NY
  • NPI 1750608253
  NPD (past)
• Hudson-Essex Allergy LLC

  • Allergy & Immunology Physician
  • Belleville, NJ
  • NPI 1770970428
  NPD (past)
• Robert M Klein MD

  dba Allergy & Asthma Medical Associates

  • Allergy Physician
  • Clifton, NJ
  • NPI 1245306455
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1336107325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11205",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070047205",
            "telephone_number": "646-854-3002",
            "fax_number": "646-493-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 713",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384334",
            "telephone_number": "646-854-3002",
            "fax_number": "646-493-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLMAN-GRUNTHER",
        "first_name": "LISA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MMAO7471600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliston Health, PLLC (Elliston Concierge Medicine)
• Elliston Health, PLLC (Elliston Pediatrics)
• Andrew Elliston, M.D
• Carl Elliston, DABR
• Lauren Noelle Elliston, MD
• Carolyn Sandra Ellman, PHD
• Elizabeth Ellman, PSYD
• Steven James Ellman, PH.D.
• Tanya Ellman, MD
• Lucy Fe Miraflor Ello

• Allergy Physician in New York, NY
• Providers in New York, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.