Individual provider Active NPI

Donna Lynn Grand, CNM

  • Advanced Practice Midwife
  • Huntington Station, NY
National Provider Identifier
1861557274
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000849-1 Issued in NY
Practice address
180 E Pulaski Rd Ste E1-200
Huntington Station, NY 11746-1915
Phone
(631) 425-2218
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000849-1 NY Primary

Addresses

Primary practice location

180 E Pulaski Rd Ste E1-200
Huntington Station, NY 11746-1915

Mailing address

755 New York Ave
Suite 333
Huntington, NY 11743-4240
Phone (631) 427-7154

Other practice location 1

755 New York Ave
suite 333
Huntington, NY 11743-4240
Phone (631) 427-7154 ext. 8005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgrand216287@nyumc.direct-ci.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000457 NY Practitioner - Certified Nurse Midwife (CNM) 0446449458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000849NYMDOccupational Therapist
F000849-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 28, 2017 Accepting new patients
New York University CurrentSince Aug 28, 2017 Accepting new patients
Huntington Hospital Dolan Family Health Center CurrentSince May 30, 2017 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Organizations & group practices 4

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1861557274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 333",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-427-7154",
            "fax_number": "631-427-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E PULASKI RD STE E1-200",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461915",
            "telephone_number": "631-425-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 New York Ave",
            "address_2": "suite 333",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434240",
            "country_code": "US",
            "telephone_number": "631-427-7154 x8005",
            "fax_number": "631-427-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAND",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000849-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgrand216287@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "180 E Pulaski Rd Ste E1-200",
            "city": "Huntington Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117461915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.