Active NPI
Megan Taylor Grzybowski, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1801436928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024258-01
- Practice address
- 1468 Madison Ave
New York, NY 10029-6508 - Phone
- (212) 241-6500
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024258-01 | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
38 Elm Ave
Floral Park, NY 11001-2436
Phone (516) 662-2963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024258 | NY | MD | Physical Therapist |
| 024258-01 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1801436928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ELM AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012436",
"telephone_number": "516-662-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "212-241-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZYBOWSKI",
"first_name": "MEGAN",
"middle_name": "TAYLOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024258-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.