Patrick J Grisafi, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N002122 Issued in NY

Practice address

18650 Radnor Rd
Jamaica, NY 11432-5829

Phone

(718) 454-2112

Fax

(718) 454-2246

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1963

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699822791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 RADNOR RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325829",
            "telephone_number": "718-454-2112",
            "fax_number": "718-454-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 RADNOR RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325829",
            "telephone_number": "718-454-2112",
            "fax_number": "718-454-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISAFI",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01727953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jenine Griffith
• Stanford A Griffith, PSYD
• Tersha Griffith
• Gail Griffiths
• Sherry Grimes, MA, LMSW
• Natalie Grodecki, AUD
• Latasha Monique Grooms, DPT
• Cheyenne Del Gross
• Julie D Groveman, PSY.D.
• Hans Wolfgang Grunwald, MD

• Foot Surgery Podiatrist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.