Samuel Grubman M.D.,P.C.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

162736 Issued in NY

Legal business name

SAMUEL GRUBMAN M.D.,P.C.

Practice address

154 W 14TH St
4TH FL
New York, NY 10011-7307

Phone

(212) 616-4122

Fax

(212) 616-4124

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Grubman, M.D.,P.C.

Title

Doctor

Phone

(212) 616-4122

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1598891475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 10TH ST",
            "address_2": "APT 12K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035102",
            "telephone_number": "212-616-4122",
            "fax_number": "212-616-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W 14TH ST",
            "address_2": "4TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117307",
            "telephone_number": "212-616-4122",
            "fax_number": "212-616-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL GRUBMAN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "GRUBMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-616-4122",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "162736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy Physician in New York, NY
• Providers in New York, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.