Organization Active NPI

Esti Grossberger NP in Family Health PLLC

  • Primary Care Clinic/Center
  • Nanuet, NY
National Provider Identifier
1801396148
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ESTI GROSSBERGER NP IN FAMILY HEALTH PLLC
Practice address
55 Old Turnpike Rd
Nanuet, NY 10954
Phone
(347) 215-0745
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Esti GrossbergerNPI 1619047909
Title
FNP
Phone
(347) 215-0745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

55 Old Turnpike Rd
Nanuet, NY 10954

Mailing address

4 Greg Sikorsky Dr
Monsey, NY 10952-1240
Phone (347) 215-0745

Other identifiers 1

IdentifierTypeStateIssuer
00357548MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731000428 NY Part B Supplier - Clinic/Group Practice 8123376704 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Valley, NY

National Provider Directory

National Provider Directory

Locations

55 Old Turnpike Rd
Ste 405
Nanuet, NY 10954
Phone (845) 501-7512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1801396148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GREG SIKORSKY DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521240",
            "telephone_number": "347-215-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD TURNPIKE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "347-215-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTI GROSSBERGER NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "GROSSBERGER",
        "authorized_official_first_name": "ESTI",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "347-215-0745"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.