GRAND STREET MEDICAL PLLC
NPI 1568485985
General Practice in Brooklyn, NY
About Grand Street Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND STREET MEDICAL PLLC (NPI 1568485985), doing business as Jayant H. Gandhi,m.d., is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Hema J Gandhi, Administration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 8
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Street Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Grand Street Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2065724
Grand Street Medical, PLLC · Brooklyn, NYCertificate of Waiver 33D2065725
Grand Street Medical, PLLC · Brooklyn, NYFrequently 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 Grand Street Medical PLLC's NPI number?
The NPI number for Grand Street Medical PLLC is 1568485985. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Jayant H. Gandhi,M.D..
Where is Grand Street Medical PLLC located?
Grand Street Medical PLLC is located at 247 Grand St, Brooklyn, NY 11211. The listed phone number is (718) 782-4768.
What is Grand Street Medical PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Grand Street Medical PLLC enrolled in Medicare?
Yes. Grand Street Medical PLLC is registered in the Medicare PECOS enrollment system.
When is Grand Street Medical PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Grand Street Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Grand Street Medical PLLC, in Family Practice, General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Street Medical PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Grand Street Medical PLLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grand Street Medical Pllc · NPI 1568485985
General Practice organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1568485985 (Entity type: Organization)
- **Enumerated:** July 26, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Jayant H. Gandhi,M.D. (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Hema Gandhi, ADMINISTRATION
## Practice location
- **Address:** 247 GRAND ST, Brooklyn, NY 11211-4302
- **Phone:** (718) 782-4768 · **Fax:** (718) 782-3677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), General Surgery (1), Nurse Practitioner (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2026
- **Other identifiers:** Other GJ617239 (NY); Other 0192659 (NY); Other 12295130; and 5 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568485985) · Data from the CMS NPPES public registry.