Tobias Groneveldt

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1585 209TH St
Bayside, NY 11360-1127

Phone

(718) 877-7976

Fax

(718) 423-6617

NPI assigned

May 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• New Path Services Corporation

  • Early Intervention Provider Agency
  • Bayside, NY
  • NPI 1558732420
  NPD (past)

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463788800000",
    "number": "1336596147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 209TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601127",
            "telephone_number": "718-877-7976",
            "fax_number": "718-423-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 209TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601127",
            "telephone_number": "718-877-7976",
            "fax_number": "718-423-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEVELDT",
        "first_name": "TOBIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558732420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irwin Greenspan, MD
• Alex Greenwald, D.D.S.
• Jacqueline Ann Grenier, R.N.
• Nina Grewal, PHARMD
• Lindsay Grobman
• Zachary Joel Grossman
• Leslie A. Grubler, MA, CCC-SLP,TSHH
• Paul Grunseich, D.D.S.
• Jinyan Guan, PHARMD
• Cindy Guaranda

• Early Intervention Provider Agency in Bayside, NY
• Providers in Bayside, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.