Individual provider Active NPI

Kirill Grinberg, DPM

  • Podiatrist
  • Vineland, NJ
National Provider Identifier
1851979447
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00389400 Issued in NJ
Practice address
150 S Main Rd
Vineland, NJ 08360-7828
Phone
(856) 691-2152
Fax
(856) 696-3474
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00389400 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

150 S Main Rd
Vineland, NJ 08360-7828

Mailing address

150 S Main Rd
Vineland, NJ 08360-7828
Phone (856) 691-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217000002 NJ Practitioner - Podiatry 9032699335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Podiatrists of South Jersey LTDGroup PAC ID 0749208684, 5 clinicians

Practice addresses (Care Compare)

150 S Main Rd
Vineland, NJ 08360-7828
Phone (856) 691-2152

Hospital & facility affiliations

  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00389400NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Podiatrists of South Jersey LTD Podiatrist CurrentSince Feb 1, 2026 Accepting new patients

Locations

150 S Main Rd
Vineland, NJ 08360
Phone (609) 691-2152

Interoperability endpoints

  • Direct secure messaging: kgrinberg18938@prd.direct.tbh.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1851979447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152",
            "fax_number": "856-696-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607828",
            "telephone_number": "856-691-2152",
            "fax_number": "856-696-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "KIRILL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00389400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.