Individual provider Active NPI

Jaselyn Grant I, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1821558149
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
319809 Issued in NY
Practice address
423 W 55TH St FL 4
New York, NY 10019-4460
Phone
(646) 215-6400
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME122508 FL
Internal Medicine Physician 207R00000X 319809 NY Primary

Addresses

Primary practice location

423 W 55TH St FL 4
New York, NY 10019-4460

Mailing address

Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461

Other practice location 1

408 Jay St
Brooklyn, NY 11201-5173
Phone (516) 212-0767

Other names 1

  • Dr. Jaselyn Grant Professional name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122508FLMDInternal Medicine Physician
319809NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1821558149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JACOBI MEDICAL CENTER",
            "address_2": "1400 PELHAM PARKWAY SOUTH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W 55TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194460",
            "telephone_number": "646-215-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Jay St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015173",
            "country_code": "US",
            "telephone_number": "516-212-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JASELYN",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "319809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASELYN",
            "last_name": "GRANT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.