Active NPI
Nancy Jane Dean-Grosack, DPM
- Podiatrist
- Oneida, NY
National Provider Identifier
1528047552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003230
- Practice address
- 264 Main St
Oneida, NY 13421 - Phone
- (315) 363-2700
- Fax
- (315) 363-1971
- NPI assigned
- Jan 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003230 | NY | Primary |
Addresses
Primary practice location
264 Main St
Oneida, NY 13421
Mailing address
264 Main St
Oneida, NY 13421
Phone (315) 363-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00652800 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003230 | NY | MD | Podiatrist |
Interoperability endpoints
- nancy.dean-grosack@oswegocountypodiatry.chartmakerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1528047552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 MAIN ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-363-2700",
"fax_number": "315-363-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 MAIN ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-363-2700",
"fax_number": "315-363-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN-GROSACK",
"first_name": "NANCY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00652800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.