MASSIEL GRULLON
NPI 1912248675
Nurse Practitioner - Family in Far Rockaway, NY
About Massiel Grullon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASSIEL GRULLON (NPI 1912248675) is an individual family provider in Far Rockaway, New York, licensed in New York (337140) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Massiel Grullon 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
White Plains Hospital Center
Acute Care Hospitals · White Plains, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAR ROCKAWAY, NY 11691
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 Massiel Grullon's NPI number?
The NPI number for Massiel Grullon is 1912248675. It was assigned to this individual provider in the NPPES registry on March 6, 2013.
Where is Massiel Grullon located?
Massiel Grullon practices at 1612 Central Ave Ste 201, Far Rockaway, NY 11691. The listed phone number is (248) 860-0211.
What is Massiel Grullon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Massiel Grullon enrolled in Medicare?
Yes. Massiel Grullon 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 Massiel Grullon affiliated with any hospitals?
According to CMS data, Massiel Grullon is affiliated with White Plains Hospital Center.
When was this NPI record last updated?
The NPPES record for Massiel Grullon was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Massiel Grullon · NPI 1912248675
Family physician in Far Rockaway, New York. Individual provider, active in the CMS NPPES registry since March 6, 2013.
## Identity
- **NPI:** 1912248675 (Entity type: Individual)
- **Enumerated:** March 6, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 337140 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1612 CENTRAL AVE STE 201, Far Rockaway, NY 11691-4002
- **Phone:** (248) 860-0211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1912248675) · Data from the CMS NPPES public registry.