Eric Maximilian Grodman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029587 Issued in NY

Practice address

211 Throop Ave
Brooklyn, NY 11206-5701

Phone

(718) 704-1439

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1386397909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PENBROKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012062",
            "telephone_number": "646-761-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 THROOP AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065701",
            "telephone_number": "718-704-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODMAN",
        "first_name": "ERIC",
        "middle_name": "MAXIMILIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Fitzgerald Groby, L.C.S.W.
• Grochild Corp
• Grace Grochowski, P.T.
• Phillip John Groden
• Lee Grodin, M.D.
• Vladimir Grodskiy, L.AC
• Zoe Shoshana Groff
• Ann Marie Grogan, N.P.
• Brittany Grogins, PHYSICIAN ASSISTANT
• Maria Grohovski, M.D

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.