Organization Active NPI

Lorena Grullon-Figueroa MD, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1689960395
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
251831 Issued in NY
Legal business name
LORENA GRULLON-FIGUEROA MD, PLLC
Practice address
1262 Boston Rd
Bronx, NY 10462
Phone
(347) 349-5888
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Lorena Grullon-Figueroa, M.D.
Title
Medical Director
Phone
(347) 349-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 251831 NY Primary

Addresses

Primary practice location

1262 Boston Rd
Bronx, NY 10462

Mailing address

1262 Boston Rd
Bronx, NY 10456-3602
Phone (347) 349-5888

Other identifiers 1

IdentifierTypeStateIssuer
03161057MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1689960395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "347-349-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "347-349-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENA GRULLON-FIGUEROA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "GRULLON-FIGUEROA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-349-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "251831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03161057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.