Marc Harris Grusensky, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

119135 Issued in NY

Practice address

2171 Jericho Turnpike
Suite 210
Commack, NY 11725

Phone

(631) 499-4224

Fax

(631) 499-1535

NPI assigned

Jan 2, 2007

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578620225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TURNPIKE",
            "address_2": "SUITE 210",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-499-4224",
            "fax_number": "631-499-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TURNPIKE",
            "address_2": "SUITE 210",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-499-4224",
            "fax_number": "631-499-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSENSKY",
        "first_name": "MARC",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "119135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "1191352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Gregory, LCSW
• Scott Michael Gressin, P.A.
• Margaret M Griesing, PTA
• Inok Gross
• Growing Minds Psychological Services PLLC
• Nicholas Guaglione
• James M. Gucciardo, DPT
• Guiding Hearts Helping Hands LCSW, PLLC
• Stephen Michael Guido, PH.D.
• Karlee Rose Gulkis, RBT

• Psychiatry Physician in Commack, NY
• Providers in Commack, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.