Catherine Grullon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

326419 Issued in NY

Practice address

32 Crescent Ave
Newburgh, NY 12550-3134

Phone

(845) 420-9202

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1518567437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CRESCENT AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CRESCENT AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503134",
            "telephone_number": "845-420-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "326419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Theodore Greene
• Heather Grisales, MHC
• Elaina M Groo
• Jeremy Grubin, MD
• Richard Michael Gruffi, D.D.S.
• Gina Guarente, OSC
• Penelope Josephine Guccione, FNP
• Denise Marie Guerriero, LMSW
• Janet J Guzman, FNP
• Richard Arthur Hahn, M.D.

• Licensed Practical Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.