Grand Street Medicine & Rehabilitation P C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

148797 Issued in NY

Legal business name

GRAND STREET MEDICINE & REHABILITATION P C

Practice address

407 Rockaway Ave
Brooklyn, NY 11212-5635

Phone

(718) 750-7680

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Tanya Gliponeo

Title

Medical Biller

Phone

(212) 539-0257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1447381538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024058",
            "telephone_number": "212-539-0257",
            "fax_number": "212-677-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-750-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Grand St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024058",
            "country_code": "US",
            "telephone_number": "212-539-0257 x201",
            "fax_number": "212-677-4853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174709",
            "country_code": "US",
            "telephone_number": "212-539-0257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1968 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296305",
            "country_code": "US",
            "telephone_number": "646-233-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND STREET MEDICINE & REHABILITATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "GLIPONEO",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "212-539-0257"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "148797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Buy Pharmacy Inc
• Grand Family Immediate Medical Care
• Keslene Grand Pierre
• Grand Rehab PT PC
• Grand Street Medical PLLC (Jayant H. Gandhi,M.D.)
• Grand Vision Optometry P.C.
• Mark Alan Grand, MD
• Grandbrook Pharmacy Inc
• Susan R Grande, LMHC
• Christina Grandelli, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.