Organization Active NPI

Grand Central Medical Services PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1679404040
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on May 26, 2026

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.