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NPI 1245612803ActiveOrganization· Preferred Provider Organization· Bronx, NY
Preferred Provider Organization in Bronx, New York, registered in NPPES in June 2015. The authorized official on file is Brenda Grier, M.D., D.O., Administrative Secretary 1.
Overview
| NPI | 1245612803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2015 |
| Last updated in NPPES | Jun 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 2084P0804X | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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