Individual provider Active NPI

Delaney K Gracy, MD

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1821154766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
224821 Issued in NY
Practice address
Ny Children'S Health Project
317 East 64TH Street
New York, NY 10021
Phone
(212) 535-9779
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 224821 NY Primary

Addresses

Primary practice location

Ny Children'S Health Project
317 East 64TH Street
New York, NY 10021

Mailing address

65 S Madison Ave
Spring Valley, NY 10977-5603
Phone (212) 535-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001484 NY Practitioner - Pediatric Medicine 4082600705 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
224821NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New York Foundling Hospital CurrentSince Jul 21, 2024 Accepting new patients
New York Foundling CurrentSince Jul 21, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Mar 16, 2018 Accepting new patients
New York Foundling Current Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Mar 16, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

170 Brown Pl
Bronx, NY 10454
Phone (212) 206-7140

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821154766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775603",
            "telephone_number": "212-535-9779",
            "fax_number": "212-535-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NY CHILDREN'S HEALTH PROJECT",
            "address_2": "317 EAST 64TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-535-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACY",
        "first_name": "DELANEY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.