Active NPI
Joel Grunwald
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1467890863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1220 48TH St
Brooklyn, NY 11219-3009 - Phone
- (917) 627-9897
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NY | Primary |
Addresses
Primary practice location
1220 48TH St
Brooklyn, NY 11219-3009
Mailing address
1220 48TH St
Brooklyn, NY 11219-3009
Phone (917) 627-9897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1115191702 | Other | NY | UNITED HEALTHCARE OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1467890863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193009",
"telephone_number": "917-627-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193009",
"telephone_number": "917-627-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNWALD",
"first_name": "JOEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OXFORD",
"identifier": "1115191702",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.