Baljinder K Grewal MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BALJINDER K GREWAL MD PLLC

Practice address

54 Heather LN
Levittown, NY 11756-3334

Phone

(516) 735-1116

NPI assigned

May 8, 2020

Last updated

May 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Baljinder K Grewal, MDNPI 1619248135

Title

Owner

Phone

(516) 993-6393

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Baljinder Kaur Grewal, M.D.

  • Family Medicine Physician
  • Nesconset, NY
  • NPI 1619248135
  Medicare reassignment Authorized official
• Simranjit Kaur Mann, AGPCNP

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1427661180
  Medicare reassignment NPD
• Roshan Kothandaram, M.D

  • Internal Medicine Physician
  • Hempstead, NY
  • NPI 1346325958
  NPD (past)
• Purnima M Kothari, MD

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
  • NPI 1952498750
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1699397083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HEATHER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HEATHER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563334",
            "telephone_number": "516-735-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALJINDER K GREWAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "BALJINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-993-6393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03761199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qadus Akram Awan, MD
• Kelli Alexis Ayala, CCC-SLP
• Jennifer Bacchus, RN
• Jihye Eunice Baek, RN
• Saduf J Baig, RD
• Gerilyn Ann Barbarotto, FNP
• Matthew W Barkoff, DPM
• Daniela Barnett, R.N.
• Randi Barry, COTA
• Jason M Bart I, OD

• Family Medicine Physician in Levittown, NY
• Providers in Levittown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.