Graig Adam Fischgrund, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

056265 Issued in NY

Practice address

372 S Oyster Bay Rd
Hicksville, NY 11801-3529

Phone

(516) 915-1555

NPI assigned

Apr 18, 2012

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fischgrund Dental PLLC

  dba Max Dental Group

  • Dentist
  • Hicksville, NY
  • NPI 1033894316
  NPD Authorized official
• City Dentistry

  • Periodontics
  • New York, NY
  • NPI 1902265036
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1700143591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHADOW LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972222",
            "telephone_number": "201-572-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013529",
            "telephone_number": "516-915-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHGRUND",
        "first_name": "GRAIG",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02498300",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "056265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Fiordimondo
• Sarah Fiore
• Dominic Fiorenza, DPM
• Marcie Fischer Oken
• Fischgrund Dental PLLC (Max Dental Group)
• Danielle Fisher
• Barry N Fisherman, M.D.
• Fit to Function Occupational Therapy Services PLLC
• Harrison D Fiumaro
• Rachel Flatow

• Periodontics in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.