Active NPI
Eleni Grigoriadis
- Student in an Organized Health Care Education/Training Program
- Cortlandt Manor, NY
National Provider Identifier
1528863552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 1349486191
- Practice address
- 601 Cardinal Rd
Cortlandt Manor, NY 10567-5201 - Phone
- (917) 562-8532
- NPI assigned
- Feb 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1349486191 | NY | Primary |
Addresses
Primary practice location
601 Cardinal Rd
Cortlandt Manor, NY 10567-5201
Mailing address
601 Cardinal Rd
Cortlandt Manor, NY 10567-5201
Phone (917) 562-8532
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1349486191 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1528863552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CARDINAL RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675201",
"telephone_number": "917-562-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CARDINAL RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675201",
"telephone_number": "917-562-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGORIADIS",
"first_name": "ELENI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "1349486191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.