ELLIOT GROTELL (NPI# 1205036290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205036290 |
| Entity Type | Individual |
| Full Name | ELLIOT GROTELL |
| Practice Address |
21518 Hillside Ave Queens Village New York NY 11427 |
| Mailing Address |
16510 Jamaica Ave Queens NY 11432 |
| Practice Telephone | 7187403951 |
| Mailing Telephone | 7182064088 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
024476 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02249470 | 05 |
| Street Address |
21518 HILLSIDE AVE QUEENS VILLAGE |
| City | NEW YORK |
| State | NY |
| Zip Code | 11427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| 1518527001 | Rachel Margaret George | Dentist | 400 E 67th St Apt 26c, New York, NY 10065-6340 | 2019-06-17 |
| 1134788706 | Nada Samra | Dentist | 1 River Pl Apt 1516, New York, NY 10036-4371 | 2019-06-07 |
| 1447729108 | Xiaoqian Ye | Dentist | 345 E 94th St Apt 8g, New York, NY 10128-5689 | 2018-11-24 |
| 1093283012 | Sae Rom Yoon | Dentist | 16 E 52nd St Ste 800, New York, NY 10022-5351 | 2018-11-07 |
| 1083189252 | Sound Dental Pllc | Dentist | 42 Lafayette St, New York, NY 10013-4043 | 2018-10-03 |
| 1871074450 | Chase Thompson | Dentist | 790 Riverside Dr Apt 2k, New York, NY 10032-7433 | 2018-08-22 |
| 1154807451 | Otto J Rodriguez | Dentist | 651 W 171st St Apt 27, New York, NY 10032-3025 | 2018-07-19 |
| Find all providers in NEW YORK | ||||
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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.