M Gretchen Grant, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

142726 Issued in NY

Practice address

950 Route 146 Ste 2
Clifton Park, NY 12065-3667

Phone

(185) 371-3391

Fax

(518) 371-1626

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

State University of New York at Buffalo School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M. Gretchen Grant, MD

  • Dermatology Physician
  • Clifton Park, NY
  • NPI 1851477566
  NPD (past) Authorized official

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1699777557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146 STE 2",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "518-371-3391",
            "fax_number": "518-371-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146 STE 2",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "185-371-3391",
            "fax_number": "518-371-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "M",
        "middle_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "142726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Fox Gordon III, MD
• Cristina D Gordon, CCC - SLP
• Lara Suzanne Gordon, PHD
• Dina Gottesman, D.O
• John Graham, D.C.
• Stephen A Grant, M.D.
• Julia Grasso
• Melissa Joy Grattan, M.S ED
• Scott Richard Grazda, RPH
• Sarah Jane Grebert

• Dermatology Physician in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.