Active NPI
Lydia V Grishin, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 223066
- Practice address
- 1365 York Ave
Suite 19F
New York, NY 10021-4035 - Phone
- (917) 415-8420
- Fax
- (704) 296-2305
- NPI assigned
- May 26, 2006
- Last updated
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 223066 | NY | Primary |
Addresses
Primary practice location
1365 York Ave
Suite 19F
New York, NY 10021-4035
Mailing address
1365 York Ave
Suite 19F
New York, NY 10021-4035
Phone (917) 415-8420
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11204 Queens Blvd
Forest Hills, NY 11375-6344
Phone (718) 263-6083
210 E Sunrise Hwy
Valley Stream, NY 11581-1329
Phone (718) 657-2789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223066 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel Bruce Fieldman MD P.C. | Anesthesiology | Current | Accepting new patients |
| Queens Endoscopy ASC, LLC | Current | Accepting new patients | |
| Comfort Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
11204 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-6083
17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474
18904 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 217-1414
20 W Lincoln Ave
Ste 201
Valley Stream, NY 11580
Phone (516) 872-3885
210 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-8484
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Roslyn Heights, NY
- NPI 1174719769
-
- Ambulatory Surgical Clinic/Center
- Fresh Meadows, NY
- NPI 1780935528
-
- Specialist
- New York, NY
- NPI 1881759637
-
- Anesthesiology Physician
- New York, NY
- NPI 1073685277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1972559425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 YORK AVE",
"address_2": "SUITE 19F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214035",
"telephone_number": "917-415-8420",
"fax_number": "704-296-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 YORK AVE",
"address_2": "SUITE 19F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214035",
"telephone_number": "917-415-8420",
"fax_number": "704-296-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISHIN",
"first_name": "LYDIA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "223066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Gabrielle Grinstein, MD
- Karina Grinstein
- Eduarda Grinsztejn Joao, MD
- Selina Samuelle Grippo, FNP-C
- Rachel Grisham, M.D.
- Eric John Grispo, OTR/L
- Hollister Grissom, NP
- Gristedes Foods Inc (Gristedes Pharmacy #561)
- Gristedes Foods Inc (Gristedes Pharmacy 555)
- Gristedes Foods Inc (Gristedes Pharmacy 560)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.