GREGORY MICHAEL GRIMALDI (NPI# 1073779617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073779617 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL GRIMALDI |
| Credential | M.D. |
| Practice Address |
300 Community Drive North Shore University Hospital Dept of Radiology Manhasset NY 11030 |
| Practice Telephone | 5165624800 |
| Mailing Telephone | 6463737601 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
243595 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762027 | Gregory G Grimaldi | Dentist | 301a E Price Ave, Savannah, MO 64485-1739 | 2006-03-07 |
| Street Address |
300 COMMUNITY DRIVE NORTH SHORE UNIVERSITY HOSPITAL DEPT OF RADIOLOGY |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599696 | John Henry Doherty | Specialist | 300 Community Drive, Napa, Manhasset, NY 11030 | 2005-06-27 |
| 1780213645 | Simran Soni | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Manhasset, NY 11030 | 2020-04-03 |
| 1225665003 | Christian Bo Rodriguez | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Emergency Medicine- Resident Division, Manhasset, NY 11030-3816 | 2020-03-24 |
| 1992268593 | Priam Chakraborty | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Level C - Admin Suite Emergency Medicine, Manhasset, NY 11030 | 2019-04-10 |
| 1497215370 | Duc Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Manhasset, NY 11030 | 2019-03-25 |
| 1124588041 | Bryan Nicholas Swenson | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Level C Administrative Suite, Manhasset, NY 11030 | 2019-03-25 |
| 1487141875 | Alana Slomovic | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Manhasset, NY 11030 | 2018-04-20 |
| 1033616578 | Daniel Asemota | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Manhasset, NY 11030 | 2018-04-11 |
| 1851897276 | Emily Lo | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Manhasset, NY 11030 | 2018-04-04 |
| 1023514437 | Alexander Khodak | Student in an Organized Health Care Education/Training Program | 300 Community Drive, Department of Medicine, Manhasset, NY 11030 | 2018-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578892048 | Philippe Chu | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2009-12-13 |
| 1346360260 | Tony Tachung Lee | Radiology | 300 Community Dr., Department of Radiology, Manhasset, NY 11030 | 2007-04-02 |
| 1588756514 | Catherine A D'agostino | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
| 1992327134 | Dongmei Jiang | Radiology | 15041 26th Ave, Flushing, NY 11354-1513 | 2020-05-11 |
| 1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
| 1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
| 1184038069 | Kimberly Owens | Radiology | 1783 Route 9 Ste 104, Halfmoon, NY 12065-2465 | 2014-06-18 |
| 1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
| 1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
| 1518248657 | Kelly M Barna | Radiology | 150 E. Sunrise Highway, Lindenhurst, NY 11757 | 2011-09-02 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1326345893 | Excel Imaging PC | Radiology | 7235 51st Ave, Suite B, Woodside, NY 11377-7610 | 2011-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.