Active NPI
Christopher Ashby Grantham, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 170931-1
- Practice address
- 183Rd St. & 3Rd Ave.
Bronx, NY 10457-2594 - Phone
- (718) 960-6188
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 170931-1 | NY | Primary |
Addresses
Primary practice location
183Rd St. & 3Rd Ave.
Bronx, NY 10457-2594
Mailing address
9 Gramatan CT
Bronxville, NY 10708-3015
Phone (914) 793-3552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170931-1 | Other | NY | LICENCE NUMBER |
| 0246913 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170931-1 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| St. Barnabas Hospital | Past | Accepting new patients | |
| Ultimate Anesthesia PLLC | Past | Accepting new patients | |
| Quarry Road Emergency Services P.C. | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- cag9097@direct.nyp.org
- cgrantham18800@sbhny.direct-ci.net
- christopher.grantham@direct.christhospital.md
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Internal Medicine Physician
- Yorktown Heights, NY
- NPI 1023257441
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1154515567
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1952484149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GRAMATAN CT",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083015",
"telephone_number": "914-793-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183RD ST. & 3RD AVE.",
"city": "BRONX",
"state": "NY",
"postal_code": "104572594",
"telephone_number": "718-960-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "CHRISTOPHER",
"middle_name": "ASHBY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "170931-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "170931-1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0246913",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.