Grand Street Medical PLLC
NPI 1568485985ActiveOrganization· General Practice· Brooklyn, NY
General Practice in Brooklyn, New York, registered in NPPES in July 2006. The authorized official on file is Hema J. Gandhi, Administration. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568485985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2006 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 111281 | NY |
| Family Medicine | 207Q00000X | 111281 | NY |
| Family Medicine, Addiction Medicine | 207QA0401X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine | 207R00000X | 111281 | NY |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 111281 | NY |
| Internal Medicine, Medical Oncology | 207RX0202X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | 111281 | NY |
| Surgery | 208600000X | 111281 | NY |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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