Individual provider Active NPI

Carol Grima, MS

  • Specialist
  • Westbury, NY
National Provider Identifier
1629675491
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
118179
Practice address
1400 Old Country Rd Ste 103
Westbury, NY 11590-5119
Phone
(516) 806-6969
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 118179 Primary

Addresses

Primary practice location

1400 Old Country Rd Ste 103
Westbury, NY 11590-5119

Mailing address

22436 Horace Harding Expy
Oakland Gardens, NY 11364-2334
Phone (917) 771-5084

Other practice location 1

22436 Horace Harding Expy
Oakland Gardens, NY 11364-2334
Phone (917) 771-5084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1629675491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22436 HORACE HARDING EXPY",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642334",
            "telephone_number": "917-771-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE 103",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905119",
            "telephone_number": "516-806-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22436 Horace Harding Expy",
            "address_purpose": "LOCATION",
            "city": "Oakland Gardens",
            "state": "NY",
            "postal_code": "113642334",
            "country_code": "US",
            "telephone_number": "917-771-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMA",
        "first_name": "CAROL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "118179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.