Active NPI
Lance James Grau
- Genetic Counselor (M.S.)
- Miami, FL
National Provider Identifier
1336255215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 4400 Biscayne Blvd
Miami, FL 33137 - Phone
- (833) 436-3832
- NPI assigned
- Aug 22, 2006
- Last updated
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
4400 Biscayne Blvd
Miami, FL 33137
Mailing address
PO Box 453
Elmwood Park, NJ 07407-0453
Other practice location 1
207 Perry Pkwy
GeneDx
Gaithersburg, MD 20877
Phone (330) 328-0831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70.000010 | Other | OH | OHIO GENETIC COUNSELOR LICENSURE |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1336255215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 453",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074070453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BISCAYNE BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "33137",
"telephone_number": "833-436-3832"
}
],
"practiceLocations": [
{
"address_1": "207 Perry Pkwy",
"address_2": "GeneDx",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "20877",
"country_code": "US",
"telephone_number": "330-328-0831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAU",
"first_name": "LANCE",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO GENETIC COUNSELOR LICENSURE",
"identifier": "70.000010",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.