Individual provider Active NPI

Lance James Grau

  • Genetic Counselor (M.S.)
  • Miami, FL
National Provider Identifier
1336255215
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
4400 Biscayne Blvd
Miami, FL 33137
Phone
(833) 436-3832
NPI assigned
Aug 22, 2006
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70.000010OtherOHOHIO 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.

Verify at the official NPI Registry.