Nebolit Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221566 Issued in NY

Legal business name

NEBOLIT MEDICAL PC

Practice address

4514 Beach 45TH St
Brooklyn, NY 11224-1002

Phone

(718) 663-8060

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Inna Grishina, M.D.NPI 1396852075

Title

Director

Phone

(718) 663-8060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Inna Grishina, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1396852075
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1821171919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 BEACH 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241002",
            "telephone_number": "718-663-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 BEACH 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241002",
            "telephone_number": "718-663-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBOLIT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "GRISHINA",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-663-8060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Neal
• James Nealon, P.A.
• Theresa Neath
• Alicia Nebblett-Roberts, FNP-BC
• Lubov Nebeluk, NP
• Katelyn Necastro
• Frances Necci, RN
• Olga Nechayeva
• Evie Nechmad
• Stephanie Neckles

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 13, 2007; 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.