James Henry Grendell, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

196808 Issued in NY

Practice address

222 Station Plaza North
Suite 428
Mineola, NY 11501-3819

Phone

(516) 663-2066

Fax

(516) 663-4655

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Medical Group of Mineola, PC

  dba Winthrop Psychiatry Group

  • Psychiatry Physician
  • Mineola, NY
  • NPI 1255798096
  NPD (past)
• Winthrop Community Medical Affiliates PC

  dba NYU Winthrop Medical Affiliates

  • Internal Medicine Physician
  • Mineola, NY
  • NPI 1457873077

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1457320426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATION PLAZA NORTH",
            "address_2": "SUITE 428",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013819",
            "telephone_number": "516-663-2066",
            "fax_number": "516-663-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATION PLAZA NORTH",
            "address_2": "SUITE 428",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013819",
            "telephone_number": "516-663-2066",
            "fax_number": "516-663-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDELL",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586658",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrendell230608@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "222 Station Plaza North",
            "address_2": "SUITE 428",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Green, MD
• Kayla Elizabeth Greene
• Raymond Greene
• Alexander Greenstone
• Katherine Grego, RN
• Narinder Paul Grewal, DO
• Dana Jillian Griesman
• Milladge Maleek Griffin IV, MD
• Bogdan Andrei Grigorescu, M.D.
• Gregory Grinberg

• Gastroenterology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.