Individual provider Active NPI

Rey Grosz, RN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1689385395
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
729404 Issued in NY
Practice address
54 Riverside Dr Apt 16C
New York, NY 10024-6581
Phone
(347) 465-3278
NPI assigned
Dec 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9640128 FL
Registered Nurse 163W00000X 95167177 CA
Registered Nurse 163W00000X 852127 NV
Registered Nurse 163W00000X 729404 NY Primary

Addresses

Primary practice location

54 Riverside Dr Apt 16C
New York, NY 10024-6581

Mailing address

54 Riverside Dr Apt 16C
New York, NY 10024-6581
Phone (347) 465-3278

Other identifiers 1

IdentifierTypeStateIssuer
9289OtherCARE

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95167177CAMDRegistered Nurse
RN9640128FLMDRegistered Nurse
852127NVMDRegistered Nurse
729404NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1689385395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RIVERSIDE DR APT 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246581",
            "telephone_number": "347-465-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 RIVERSIDE DR APT 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246581",
            "telephone_number": "347-465-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSZ",
        "first_name": "REY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9640128",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95167177",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "852127",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "729404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE",
            "identifier": "9289",
            "state": null
        }
    ],
    "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 Jul 15, 2024; 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.