Active NPI
Michael K Grady, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1649406307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170616
- Practice address
- 2720 Surf Ave
Brooklyn, NY 11224-1913 - Phone
- (718) 714-4800
- Fax
- (718) 266-1743
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 170616 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 102110 | GA |
Addresses
Primary practice location
2720 Surf Ave
Brooklyn, NY 11224-1913
Mailing address
2720 Surf Ave
Brooklyn, NY 11224-1913
Phone (718) 714-4800
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102110 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pension Committee Joint Industry Board | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1649406307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SURF AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241913",
"telephone_number": "718-714-4800",
"fax_number": "718-266-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SURF AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241913",
"telephone_number": "718-714-4800",
"fax_number": "718-266-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "MICHAEL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "170616",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "102110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.