M. Gretchen Grant, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

142726 Issued in NY

Legal business name

M. GRETCHEN GRANT, MD

Practice address

989 Route 146 Ste 300
Suite 303
Clifton Park, NY 12065-3647

Phone

(518) 371-3391

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. M Gretchen Grant, MDNPI 1699777557

Title

Owner

Phone

(518) 371-3391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• M Gretchen Grant, MD

  • Dermatology Physician
  • Clifton Park, NY
  • NPI 1699777557
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1851477566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 ROUTE 146 STE 300",
            "address_2": "SUITE 303",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653647",
            "telephone_number": "518-371-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ROUTE 146 STE 300",
            "address_2": "SUITE 303",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653647",
            "telephone_number": "518-371-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. GRETCHEN GRANT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-371-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "142726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylir Mari Lorino, BT
• Charissa Louie, DPT
• Jennifer Ann Louis-Brown, M.A., CAS
• Mary Elizabeth Love, DC
• Matthew T Lumley, PT
• Stephanie Jane Macconnell, NP
• Laura Maciariello, FNP
• Donald J Macina, D.D.S.
• Brittney Mack, DPT
• Lauren J Macro, PHARMD

• Dermatology Physician in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.