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DR. LISA KIM ELLMAN-GRUNTHER M.D.
NPI 1336107325
Allergy & Immunology - Allergy in New York, NY

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
150 BROADWAY RM 713, NEW YORK, NY 10038(646) 854-3002(646) 493-7299 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Apr 9, 2018 (2 updates tracked since 2018).

About Dr. Lisa Kim Ellman-grunther M.d. NPPES

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

DR. LISA KIM ELLMAN-GRUNTHER M.D. (NPI 1336107325) is an individual allergy provider in New York, New York, licensed in New Jersey (25MMAO7471600) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1996).

NPPES Registry Identity

NPI1336107325
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameDR. LISA KIM ELLMAN-GRUNTHERCredential: M.D.
Location Address150 BROADWAY RM 713New York, NY 10038-4334
Mailing AddressPo Box 11205Fairfield, NJ 07004-7205 · (646) 854-3002 · Fax (646) 493-7299
Phone(646) 854-3002
Fax(646) 493-7299
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1996
Enumeration DateMay 2, 2006
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1336107325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in NJ · 25MMAO7471600
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
150 BROADWAY RM 713, New York, NY 10038
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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. Lisa Kim Ellman-grunther M.d. 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 ID1850421439
PECOS Enrollment IDI20140512000286
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.

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 Lisa Ellman-grunther's NPI number?

The NPI number for Lisa Ellman-grunther is 1336107325. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Lisa Ellman-grunther located?

Lisa Ellman-grunther practices at 150 Broadway Rm 713, New York, NY 10038. The listed phone number is (646) 854-3002.

What is Lisa Ellman-grunther's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Lisa Ellman-grunther enrolled in Medicare?

Yes. Lisa Ellman-grunther 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.

When was this NPI record last updated?

The NPPES record for Lisa Ellman-grunther was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.