GRENVILLE MEDICAL PC
NPI 1316961071
Internal Medicine - Hematology & Oncology in New York, NY

Active since July 27, 2006
308A E 15TH ST, NEW YORK, NY 10003(212) 674-4455 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grenville Medical Pc NPPES

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

GRENVILLE MEDICAL PC (NPI 1316961071) is a healthcare organization registered as a hematology & oncology in New York, New York and active in the NPI registry since July 2006. The organization lists Bernard Kabakow, Owner, as its authorized official.

NPPES Registry Identity

NPI1316961071
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameGRENVILLE MEDICAL PC
Location Address308A E 15TH STNew York, NY 10003-4001
Mailing Address308a E 15th StNew York, NY 10003-4001 · (212) 674-4455
Organization SubpartNo
Authorized OfficialBernard KabakowOwner · (917) 576-4481
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 28, 2007
NPI 1316961071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 075329
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
308A E 15TH ST, New York, NY 10003

Other Identifiers 3

Medicare ID-Type UnspecifiedW9D001NY
Medicare UPINB00043NY
Medicaid00100936NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Internal Medicine
308A E 15TH ST
NEW YORK, NY 10003
Dermatology (Procedural Dermatology)
308A E 15TH ST
NEW YORK, NY 10003
Internal Medicine
308A E 15TH ST
NEW YORK, NY 10003
Nurse Practitioner (Family)
308A E 15TH ST
NEW YORK, NY 10003
Dermatology
308A E 15TH ST
NEW YORK, NY 10003
Specialist
308A E 15TH ST
NEW YORK, NY 10003
Family Medicine
308A E 15TH ST
NEW YORK, NY 10003

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 Grenville Medical PC's NPI number?

The NPI number for Grenville Medical PC is 1316961071. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Grenville Medical PC located?

Grenville Medical PC is located at 308A E 15th St, New York, NY 10003. The listed phone number is (212) 674-4455.

What is Grenville Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Grenville Medical PC was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.