Active NPIIndividual providerSole proprietor

Dr. Lisa K Ellman-Grunther, MD

Allergy & Immunology, Allergy in New York, New York

NPI Number1336107325
Practice location
150 Broadway Rm 713, New York, NY 10038-4334
Fax
646-493-7299
Last updated
November 5, 2024

Lisa Kim Ellman-Grunther is an Allergy & Immunology, Allergy based in New York, NY. Lisa Kim Ellman-Grunther practices in New York, NY and has the professional credentials of MD. The NPI Number for Lisa Kim Ellman-Grunther is 1336107325 and holds a License No. 25MMAO7471600 (NJ). The current practice location address for Lisa Kim Ellman-Grunther is 150 Broadway Rm 713, New York, NY 10038-4334 and can be reached out via phone at 646-854-3002 and via fax at 646-493-7299.

Provider Profile Details

NPI Number
1336107325
Provider Name
Lisa Kim Ellman-Grunther
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
150 Broadway Rm 713, New York, NY 10038-4334
Phone Number
646-854-3002
Fax Number
646-493-7299
Primary Taxonomy
Allergy & Immunology, Allergy · 207KA0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2006
Last Update Date
November 5, 2024
Certification Date
November 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Broadway Rm 713
New York, NY 10038-4334
Zip
10038-4334
Phone Number
646-854-3002
Fax Number
646-493-7299
New York, NY 10038Get directions →

Provider Business Mailing Address Details

Address
Po Box 11205
Fairfield, NJ 07004-7205
City
Fairfield
State
NJ
Zip
07004-7205
Phone Number
646-854-3002
Fax Number
646-493-7299

License Information

License Number
25MMAO7471600
License State
NJ
Taxonomy
Allergy & Immunology, Allergy · 207KA0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lisa K Ellman-Grunther, MD?

The NPI number of Dr. Lisa K Ellman-Grunther, MD is 1336107325. It was assigned on May 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa K Ellman-Grunther, MD?

Dr. Lisa K Ellman-Grunther, MD is registered under the primary taxonomy Allergy & Immunology, Allergy (code 207KA0200X), licensed in NJ under license number 25MMAO7471600.

Where does Dr. Lisa K Ellman-Grunther, MD practice?

The practice location is 150 Broadway Rm 713, New York, NY 10038-4334. The office can be reached at 646-854-3002 (phone) or 646-493-7299 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336107325 directly on the NPPES registry website.

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