Active NPI
Promed Preferred VA Professional Corporation
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1376343194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PROMED PREFERRED VA PROFESSIONAL CORPORATION
- Practice address
- 1314 54TH St
Brooklyn, NY 11219-4219 - Phone
- (615) 499-3165
- NPI assigned
- Mar 19, 2025
- Last updated
- Jun 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lev Grinman, MD
- Title
- President
- Phone
- (615) 499-3165
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1314 54TH St
Brooklyn, NY 11219-4219
Mailing address
329 S Oyster Bay Rd # 2059
Plainview, NY 11803-3301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Silver Spring, MD
- NPI 1285913772
VA
-
- Neurology Physician
- Paramus, NJ
- NPI 1457511743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1376343194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S OYSTER BAY RD # 2059",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 54TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194219",
"telephone_number": "615-499-3165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMED PREFERRED VA PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "GRINMAN",
"authorized_official_first_name": "LEV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-499-3165",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Promed Personnel Services
- Promed Personnel Services
- Promed Preferred de, P.a.
- Promed Preferred PA 5 Professional Corporation
- Promed Preferred TX 5, PLLC
- Promed Preferred WV Professional Corporation
- Promeda Medical and Diagnostics, P.C.
- Prominis Medical Services PC
- Promising Pebbles Inc.
- Prompt Interventional Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.