Active NPI
Ilya Grinberg, M.D
- Anesthesiology Physician
- Woodside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME148804
- Practice address
- 3747 60TH St
Apartment 1a
Woodside, NY 11377-2585 - Phone
- (732) 685-7374
- NPI assigned
- Jun 8, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 298088 | NY | |
| Anesthesiology Physician | 207L00000X | ME148804 | FL | Primary |
Addresses
Primary practice location
3747 60TH St
Apartment 1a
Woodside, NY 11377-2585
Mailing address
3747 60TH St
Apartment 1a
Woodside, NY 11377-2585
Phone (732) 685-7374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME148804 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Drexel University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
1285 Creekside Blvd E
Naples, FL 34109-0590
Phone (239) 529-1800
27 Medical Ctr Dr
Suite 2
Jackson, TN 38301-3949
Phone (731) 426-0310
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (954) 939-5000
560 Jackson St N
Suite 200
St Petersburg, FL 33705-1449
Phone (727) 820-7500
9075 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 398-9898
Hospital & facility affiliations
- HCA Florida JFK Hospital
- Methodist Hospitals of Memphis
- Jackson-Madison County General Hospital
- Physicians Regional Medical Center - Pine Ridge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME148804 | FL | MD | Anesthesiology Physician |
| 298088 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Resource Anesthesiology Associates of TN PC | Anesthesiology | Current | Accepting new patients |
| Blue Cloud Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Ams National LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Florida, Inc | Anesthesiology | Current | Accepting new patients |
| East Coast Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Red Reef Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Anesthesiology | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Blue Cloud Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | Current | Accepting new patients |
| Medical Center Anesthesia Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Florida, Inc | Anesthesiology | Current | Accepting new patients |
Locations (25 of 33)
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142
7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
1285 Creekside Blvd E
Naples, FL 34109
Phone (239) 260-6631
4650 N Dixie Hwy
Oakland Park, FL 33334
Phone (717) 759-4375
1620 S Congress Ave
Ste 101
Palm Springs, FL 33461
Phone (561) 291-9839
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898
5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000
6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
Organizations & group practices 23
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1447591730
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1851169775
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1376287730
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1538641352
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
-
- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1245569870
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1558741124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3747 60TH ST",
"address_2": "APARTMENT 1A",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772585",
"telephone_number": "732-685-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 60TH ST",
"address_2": "APARTMENT 1A",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772585",
"telephone_number": "732-685-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINBERG",
"first_name": "ILYA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "298088",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME148804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME148804",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.