Susan R. Grodensky, M.S.O.M., LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002226 Issued in NY

Practice address

26 Azalea Rd
Rochester, NY 14620-3020

Phone

(585) 369-6850

Fax

(585) 319-4108

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Meridian Acupuncture PLLC

  • Preferred Provider Organization
  • Honeoye Falls, NY
  • NPI 1255725834
  NPD (past) Authorized official

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1407240682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721101",
            "telephone_number": "585-369-6850",
            "fax_number": "585-319-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 AZALEA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203020",
            "telephone_number": "585-369-6850",
            "fax_number": "585-319-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODENSKY",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "M.S.O.M., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Griswold, LCSW, CCTP
• Savannah Marie Griswold, BSN, RN
• Chrysoula Griva
• Michael Grizzanti, FNP
• Jaclyn Grode, MD
• Jeronda Grooms, CNA
• Natasha Andrea Grooms, L.P.N
• Regina Grooms, LMSW
• Katharine Grosche
• Ann Grosjean

• Acupuncturist in Rochester, NY
• Providers in Rochester, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.