Active NPI
Grand Central Medical Services PLLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1679404040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GRAND CENTRAL MEDICAL SERVICES PLLC
- Practice address
- 315 Madison Ave RM 201
New York, NY 10017-5438 - Phone
- (929) 551-3588
- NPI assigned
- May 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jade Lor
- Title
- Manager
- Phone
- (929) 389-5969
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nephrology Physician | 207RN0300X | |||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
315 Madison Ave RM 201
New York, NY 10017-5438
Mailing address
450 Lexington Ave Unit 586
New York, NY 10163-9618
Phone (929) 389-5969
National Provider Directory
National Provider DirectoryLocations
315 Madison Ave
Rm 201
New York, NY 10017
Phone (929) 551-3588
450 Lexington Ave
Unit 586
New York, NY 10163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- New York, NY
- NPI 1457734642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779753600000",
"number": "1679404040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 LEXINGTON AVE UNIT 586",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101639618",
"telephone_number": "929-389-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MADISON AVE RM 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175438",
"telephone_number": "929-551-3588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND CENTRAL MEDICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A",
"authorized_official_last_name": "LOR",
"authorized_official_first_name": "JADE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "929-389-5969",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Grand Central Acupuncture Wellness PC
- Grand Central Chiropractice & Physical Therapy PLLC
- Grand Central Dental of Manhattan
- Grand Central Hand Therapy Center
- Grand Central Medical P.C.
- Grand Central Optical Co Inc
- Grand Central Physical Medicine&Rehabilitation PC
- Grand Central Physical Therapy
- Grand Central Podiatric Care and Surgery
- Grand Central Psychology PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.