Individual provider Active NPI

Kerry Grasso

  • Specialist
  • Albany, NY
National Provider Identifier
1710599188
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
10B Madison Avenue Ext
Albany, NY 12203-7314
Phone
(518) 867-3061
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

10B Madison Avenue Ext
Albany, NY 12203-7314

Mailing address

15 Delaware CT Rear Apt
Watervliet, NY 12189-3527

Other practice location 1

15 Delaware Ct Rear Apt
Watervliet, NY 12189-3527
Phone (518) 867-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1710599188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DELAWARE CT REAR APT",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121893527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10B MADISON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037314",
            "telephone_number": "518-867-3061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Delaware Ct Rear Apt",
            "address_purpose": "LOCATION",
            "city": "Watervliet",
            "state": "NY",
            "postal_code": "121893527",
            "country_code": "US",
            "telephone_number": "518-867-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.