GRAND STREET MEDICAL PLLC
GRAND STREET MEDICAL PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1568485985, based in Brooklyn, NY. The organization lists 9 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 666 GRAND ST, Brooklyn, NY 11211. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 111281 | NY | General Practice Physician primary |
| 111281 | NY | Family Medicine Physician |
| 111281 | NY | Internal Medicine Physician |
| 111281 | NY | Geriatric Medicine (Internal Medicine)… |
| 111281 | NY | Physical Medicine & Rehabilitation… |
| 111281 | NY | Surgery Physician |
This provider holds licence 111281 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1355436528
- Enrollment ID
- O20071003000073
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | 111281 | NY | primary |
| 207Q00000X | Family Medicine Physician | 111281 | NY | |
| 207R00000X | Internal Medicine Physician | 111281 | NY | |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine | 111281 | NY | |
| 208100000X | Physical Medicine & Rehabilitation Physician | 111281 | NY | |
| 208600000X | Surgery Physician | 111281 | NY | |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician Addiction Medicine | — | — | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | — | — | |
| 208D00000X | General Practice Physician | — | — | |
| 207RX0202X | Medical Oncology Physician Medical Oncology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1568485985 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 26, 2006 |
| Last updated | Apr 18, 2012 |
| Status | Active |
| Practice address |
666 GRAND ST Brooklyn, NY 11211 (718) 963-0555 Fax (718) 963-4889 |
| Mailing address |
80 E END AVE 14-B New York, NY 10028 |
| Other identifiers |
GJ617239
· Other (NY) 0192659 · Other (NY) 12295130 · Other 55247 · Other (NY) 00199748 · Medicaid (NY) 11128160NY · Other (NY) WPPD41 · Medicaid (NY) 03196274 · Medicaid (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 6 | 8 | 4 | 8 | 5 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 3 | 8 | 8 | 8 | 1 | 9 | 7 |
Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.