NPIMap

Individual provider Active NPI

Steven Jeffrey Gruber, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1720024136
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
178227 Issued in NY
Practice address
10 Union Square East
Beth Israel Medical Centerbaird Hallnephrology Division
New York, NY 10003-3805
Phone
(212) 420-4003
Fax
(212) 420-4043
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 178227 NY Primary

Addresses

Primary practice location

10 Union Square East
Beth Israel Medical Centerbaird Hallnephrology Division
New York, NY 10003-3805

Mailing address

P O Box 95000-2150
Philadelphia, PA 19195-2150
Phone (212) 420-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000117 NY Practitioner - NephrologyPractitioner - Internal Medicine 3870599442 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-4060

Hospital & facility affiliations

  • FMC Avantus Irving Place Dialysis Center Dialysis facility, New York, NY, CCN 332704
  • Lower Manhattan Dialysis Center Dialysis facility, New York, NY, CCN 332528
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 29, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Nephrology CurrentSince Aug 29, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

10 Union Sq E
Ste 2
New York, NY 10003
Phone (212) 420-2190

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1720024136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 95000-2150",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952150",
            "telephone_number": "212-420-4003",
            "fax_number": "212-420-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQUARE EAST",
            "address_2": "BETH ISRAEL MEDICAL CENTERBAIRD HALLNEPHROLOGY DIVISION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033805",
            "telephone_number": "212-420-4003",
            "fax_number": "212-420-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "STEVEN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "178227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.