Paul Vonryll Gryska, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

52655 Issued in MA

Practice address

2000 Washington St
Ste 365
Newton, MA 02462-1627

Phone

(617) 244-5355

Fax

(617) 244-8662

NPI assigned

Jun 22, 2005

Last updated

Feb 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1568468700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 365",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621627",
            "telephone_number": "617-244-5355",
            "fax_number": "617-244-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 365",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621627",
            "telephone_number": "617-244-5355",
            "fax_number": "617-244-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYSKA",
        "first_name": "PAUL",
        "middle_name": "VONRYLL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "52655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6181112",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances K Grossman, PH.D.
• Rachel Maya Groth
• Jordan Sher Grubb, EDM
• Emilie Jospe Gruhl, FNP
• Richelli Grullon
• Anthony Guan
• Danielle Guay
• Manel Guerraiche
• Ambar Guerrero
• Joanna M Gunasti, P.A.

• Surgery Physician in Newton, MA
• Providers in Newton, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.