Gerard Fitzgerald Grant

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336676-01 Issued in NY

Practice address

998 Crooked Hill Rd
Brentwood, NY 11717-1019

Phone

(631) 761-3500

NPI assigned

Dec 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1730727165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345958",
            "telephone_number": "718-306-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "GERARD",
        "middle_name": "FITZGERALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336676-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie April Gonzalez
• Latoya Amanda Gordon
• Tania Gordon
• Pratima Goyal, MD
• Judith U Graham Guerrier, LPN
• Barbara Anne Graulich, REGISTERED NURSE
• Brandie Green
• Crystal Nicole Green, RN
• Eve Patricia Griffin, M.D.
• Pamela Groh, RD, CDE

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.