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DR. GRIGORIY GRENADER D.O.
NPI 1104085679
Family Medicine in New York, NY

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
100 HAVEN AVE STE 201, NEW YORK, NY 10032(212) 305-3400(212) 342-3955 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Grigoriy Grenader D.o. NPPES

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

DR. GRIGORIY GRENADER D.O. (NPI 1104085679) is an individual family medicine provider in New York, New York, licensed in New York (255778) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).

NPPES Registry Identity

NPI1104085679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRIGORIY GRENADERCredential: D.O.
Location Address100 HAVEN AVE STE 201New York, NY 10032-2645
Mailing Address2785 W 5th St, Apt.7dBrooklyn, NY 11224-4629 · (646) 346-0887
Phone(212) 305-3400
Fax(212) 342-3955
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1104085679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 255778
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 HAVEN AVE STE 201, New York, NY 10032
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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

Dr. Grigoriy Grenader D.o. 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 ID5799133013
PECOS Enrollment IDI20231128001291
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.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grigoriy Grenader's NPI number?

The NPI number for Grigoriy Grenader is 1104085679. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Grigoriy Grenader located?

Grigoriy Grenader practices at 100 Haven Ave Ste 201, New York, NY 10032. The listed phone number is (212) 305-3400.

What is Grigoriy Grenader's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grigoriy Grenader enrolled in Medicare?

Yes. Grigoriy Grenader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Grigoriy Grenader affiliated with any hospitals?

According to CMS data, Grigoriy Grenader is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Grigoriy Grenader was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.