Gregory E Grunberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

228689 Issued in NY

Practice address

111 East 210TH St. Red Zone
MMC - Dept. of Medicine
Bronx, NY 10467

Phone

(718) 920-6264

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770607053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STUYVESANT OVAL",
            "address_2": "APT. 11D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091901",
            "telephone_number": "646-387-3002",
            "fax_number": "718-654-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 210TH ST. RED ZONE",
            "address_2": "MMC - DEPT. OF MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNBERG",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanely Elaine Grullon, LMHC
• Zariel Carmen Grullon, RD
• Zuleyka A Grullon, LCSW
• Andrei A Grun
• Deborah Grun, RN, FNP
• Michael Jason Grushko, MD
• Konrad Izumi Gruson, M.D.
• Katherine Grygierczyk, DDS
• Jie Gu
• Yeon Sook Gu

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.