Active NPI
Victoria M. Grella, R.N.
- Registered Nurse
- Glen Cove, NY
National Provider Identifier
1336327998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22 318971
- Practice address
- 27 Roosevelt St
Glen Cove, NY 11542-1934 - Phone
- (516) 671-3129
- Fax
- (516) 572-5612
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22 318971 | NY | Primary |
Addresses
Primary practice location
27 Roosevelt St
Glen Cove, NY 11542-1934
Mailing address
27 Roosevelt St
Glen Cove, NY 11542-1934
Phone (516) 671-3129
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22 318971 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1336327998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ROOSEVELT ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115421934",
"telephone_number": "516-671-3129",
"fax_number": "516-572-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ROOSEVELT ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115421934",
"telephone_number": "516-671-3129",
"fax_number": "516-572-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRELLA",
"first_name": "VICTORIA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 318971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.