GRACE BLAIR CONDORI PA
NPI 1013637297
Physician Assistant - Medical in Fresh Meadows, NY

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
17505 HORACE HARDING EXPY, FRESH MEADOWS, NY 11365(718) 990-8417 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grace Blair Condori Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE BLAIR CONDORI PA (NPI 1013637297) is an individual medical provider in Fresh Meadows, New York and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013637297
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRACE BLAIR CONDORICredential: PA
Location Address17505 HORACE HARDING EXPYFresh Meadows, NY 11365-1535
Mailing Address6 Woodland AvePort Chester, NY 10573-2947 · (914) 934-1442
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
NPI 1013637297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
17505 HORACE HARDING EXPY, Fresh Meadows, NY 11365

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grace Blair Condori Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234661117
PECOS Enrollment IDI20241016003582
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365
Physician Assistant
17505 HORACE HARDING EXPY
FRESH MEADOWS, NY 11365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013637297, enumerated as an "individual" on August 30, 2022.

The provider is located at 17505 HORACE HARDING EXPY FRESH MEADOWS, NY 11365 and the phone number is (718) 990-8417.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Grace Condori is affiliated with: WHITE PLAINS HOSPITAL CENTER.