Organization Active NPI

Jane Pratt-Grippi D.P.M.,P.C.

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1659574507
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004315 Issued in NY
Legal business name
JANE PRATT-GRIPPI D.P.M.,P.C.
Practice address
4729 193Rd St
Flushing, NY 11358-3928
Phone
(718) 225-7344
Fax
(718) 225-7346
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Jane Irene Pratt-Grippi, D.P.M.NPI 1134276520
Title
President
Phone
(718) 225-7344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004315 NY Primary

Addresses

Primary practice location

4729 193Rd St
Flushing, NY 11358-3928

Mailing address

4729 193Rd St
Flushing, NY 11358-3928
Phone (718) 225-7344

Other identifiers 2

IdentifierTypeStateIssuer
1134276520OtherNYNPI
01053910MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1659574507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 193RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583928",
            "telephone_number": "718-225-7344",
            "fax_number": "718-225-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 193RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583928",
            "telephone_number": "718-225-7344",
            "fax_number": "718-225-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PRATT-GRIPPI D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "PRATT-GRIPPI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-225-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134276520",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01053910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.