Active NPI
Olga Gruscinska, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 265345
- Practice address
- 408 W 57TH St Apt 7L
New York, NY 10019-3012 - Phone
- (646) 410-2227
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD003471 | NY | |
| Internal Medicine Physician | 207R00000X | MD437523 | PA | |
| Internal Medicine Physician | 207R00000X | 265345 | NY | Primary |
Addresses
Primary practice location
408 W 57TH St Apt 7L
New York, NY 10019-3012
Mailing address
408 W 57TH St Apt 7L
New York, NY 10019-3012
Phone (646) 410-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Brighton Beach Ave
Suite 3
Brooklyn, NY 11235-8067
Phone (718) 942-5385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD003471 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RLD Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| Forest Hills Dermatology Group PLLC | Current | Accepting new patients | |
| Prominis Medical Services PC | Internal Medicine | Current | Accepting new patients |
| St John'S Medical Services PC | Internal Medicine | Past | Accepting new patients |
| Comprehensive Women'S Health of N.Y. PLLC | Past | Accepting new patients |
Locations
332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101
130 Brighton Beach Ave
Ste 3
Brooklyn, NY 11235
Phone (718) 942-5385
6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242
6051 Fresh Pond Rd
Maspeth, NY 11378
Phone (718) 386-6642
140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600
45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
-
- Dermatology Physician
- Kew Gardens, NY
- NPI 1225309586
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1609986934
-
- Obstetrics & Gynecology Physician
- Glendale, NY
- NPI 1982736047
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1457580052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 W 57TH ST APT 7L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193012",
"telephone_number": "646-410-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W 57TH ST APT 7L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193012",
"telephone_number": "646-410-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSCINSKA",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "MD003471",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD437523",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "265345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.