Jean Joseph Grandoit, PHYSICIAN'S ASSISTAN

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002867 Issued in NY

Practice address

2176 Nostrand Avenue
Brooklyn, NY 11210-0823

Phone

(646) 330-8254

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629290580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 100823",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112100823",
            "telephone_number": "646-330-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112100823",
            "telephone_number": "646-330-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDOIT",
        "first_name": "JEAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN'S ASSISTAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grandi Ensemble
• Bjanay Grandison, LPN
• Demar Grandison
• Georgette Grandison, R.N.
• Victoria Grandison, RN
• Leencey Grandoit
• Monica A. Grandy, PH.D
• Elena Granger
• Alyssa Marie Granice, LMSW
• Tanya D Granick, MA

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant 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.