Individual provider Active NPI

Harry Gruenspan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1649349010
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
152555 Issued in NY
Practice address
210 E 86TH St
RM 201
New York, NY 10028-3141
Phone
(212) 794-2900
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 152555 NY Primary

Addresses

Primary practice location

210 E 86TH St
RM 201
New York, NY 10028-3141

Mailing address

210 E 86TH St
RM 201
New York, NY 10028-3141
Phone (212) 794-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000312 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 3375643133 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

90 Maiden LN
FL 3
New York, NY 10038-4831
Phone (646) 290-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince Feb 19, 2018 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Feb 19, 2018 Accepting new patients

Locations

7206 Narrows Ave
Brooklyn, NY 11209
Phone (718) 283-8793

415 W Broadway
Fl 5
New York, NY 10012
Phone (646) 290-9560

110 E 60th St
Rm 903
New York, NY 10022
Phone (649) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

75 Maiden Ln
Rm 404
New York, NY 10038
Phone (212) 402-5430

110 E 60th St
Rm 904
New York, NY 10022

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA
  • Direct secure messaging: hag2005@direct.nyp.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1649349010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 86TH ST",
            "address_2": "RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283141",
            "telephone_number": "212-794-2900",
            "fax_number": "212-472-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 86TH ST",
            "address_2": "RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283141",
            "telephone_number": "212-794-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENSPAN",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "152555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.