Mayer Grunfeld, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

313225 Issued in NY

Practice address

35 Reid Ave
Passaic, NJ 07055-3510

Phone

(416) 277-4086

NPI assigned

Oct 3, 2021

Last updated

Oct 4, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1811669336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 REID AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 REID AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553510",
            "telephone_number": "416-277-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNFELD",
        "first_name": "MAYER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "313225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHYSICIAN LICENSE NUMBER",
            "identifier": "313225",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mayergruneld@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "mayergruneld@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Reid Ave",
            "city": "Passaic",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070553510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucille Monica Green, APN MSN
• Kenneth M Gross, DC
• Alyssa Grossman, RD
• Jodi Hope Grossman, OTR
• Chanita Groysman
• Daiana Guerrero, ANP
• Estela Del Carmen Guerrero, D.D.S.
• Gautam Gupta
• Vijay K Gupta, MD
• Mali Gurevitch

• Family Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.