MARIANNE L GRANDUSKY PA
NPI 1225093289
Physician Assistant - Medical in New York, NY

Q: What is Marianne Grandusky's NPI number?

The NPI number for Marianne Grandusky is 1225093289. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Marianne Grandusky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since April 20, 2006PECOS Enrolled

177 FORT WASHINGTON AVE, MHB 6GN 435, NEW YORK, NY 10032(212) 305-8932(212) 305-3035 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2016, Mar 30, 2016 (2 updates tracked since 2016).

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About Marianne L Grandusky Pa NPPES

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

MARIANNE L GRANDUSKY PA (NPI 1225093289) is an individual medical provider in New York, New York, licensed in New York (0075321) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225093289

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARIANNE L GRANDUSKYCredential: PA

Location Address177 FORT WASHINGTON AVE, MHB 6GN 435New York, NY 10032-3733

Mailing Address177 Fort Washington Ave, Mhb 6gn 435New York, NY 10032-3733 · (585) 766-5675

Phone(212) 305-8932

Fax(212) 305-3035

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateMay 12, 20162 updates tracked since enumeration

✔ NPI 1225093289 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

License✔ Licensed in NY · 0075321

177 FORT WASHINGTON AVE, New York, NY 10032

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Other Identifiers 3

Medicare PINPA1193

Medicare PINP00310960

Medicare UPINQ59334

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marianne L Grandusky Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

SHADY AHMED PT, DPT

Physical Therapist

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (212) 305-3280

BRIGGITTE PAOLA ALCIVAR FNP

Nurse Practitioner (Family)

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (347) 215-1922

MRS. CLAUDIA ANN GHIGLIOTTY OTR

Occupational Therapist

177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032

New York County (212) 305-8352

BRITTANY SHINN MS OTR/L

Occupational Therapist

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (212) 305-8352

NATASHA LOUISA COLEMAN

Surgery (Surgical Critical Care)

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (212) 305-5970

KIMBERLY BUKOSKI PA-C

Physician Assistant

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (203) 218-4748

ANDREW ANZALONE

Student in an Organized Health Care Education/Training Program

177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032

New York County (212) 305-6262

DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT

Physician Assistant

177 FORT WASHINGTON AVE
NEW YORK, NY 10032

New York County (212) 305-2500

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 Marianne Grandusky's NPI number?

The NPI number for Marianne Grandusky is 1225093289. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Marianne Grandusky located?

Marianne Grandusky practices at 177 Fort Washington Ave Mhb 6gn 435, New York, NY 10032. The listed phone number is (212) 305-8932.

What is Marianne Grandusky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marianne Grandusky enrolled in Medicare?

Yes. Marianne Grandusky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marianne Grandusky was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.