Active NPIOrganization

Grand Street Medical PLLC

General Practice in Brooklyn, New York

NPI Number1568485985
Practice location
247 Grand St, Brooklyn, NY 11211-4302
Fax
718-782-3677
Last updated
June 12, 2026

Grand Street Medical PLLC is a healthcare organization based in Brooklyn, NY. Grand Street Medical PLLC practices in Brooklyn, NY. The NPI Number for Grand Street Medical PLLC is 1568485985 and holds a License No. 111281 (NY). The current practice location address for Grand Street Medical PLLC is 247 Grand St, Brooklyn, NY 11211-4302 and can be reached out via phone at 718-782-4768 and via fax at 718-782-3677.

Provider Profile Details

NPI Number
1568485985
Provider Name
Grand Street Medical PLLC
Provider Entity Type
Organization
Address
247 Grand St, Brooklyn, NY 11211-4302
Phone Number
718-782-4768
Fax Number
718-782-3677
Primary Taxonomy
General Practice · 208D00000X
Organization Subpart
No
Authorized Official
Mrs. Hema J Gandhi · Administration · 718-782-4768
Other Names
Jayant H. Gandhi,m.d. (Doing Business As)
Provider Enumeration Date
July 26, 2006
Last Update Date
June 12, 2026
Certification Date
June 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
247 Grand St
Brooklyn, NY 11211-4302
Zip
11211-4302
Phone Number
718-782-4768
Fax Number
718-782-3677
Brooklyn, NY 11211Get directions →

Provider Business Mailing Address Details

Address
80 E End Ave Apt 14B
New York, NY 10028-8017
City
New York
State
NY
Zip
10028-8017
Phone Number
212-734-9031
Fax Number
212-794-2441

License Information

License Number (1)
111281
License State (1)
NY
Taxonomy (1)
Surgery · 208600000X
Taxonomy (2)
Family Medicine, Geriatric Medicine · 207QG0300X
License Number (3)
111281
License State (3)
NY
Taxonomy (3)
Physical Medicine & Rehabilitation · 208100000X
Taxonomy (4)
Family Medicine, Addiction Medicine · 207QA0401X
License Number (5)
111281
License State (5)
NY
Taxonomy (5)
Family Medicine · 207Q00000X
License Number (6)
111281
License State (6)
NY
Taxonomy (6)
Internal Medicine · 207R00000X
License Number (7)
111281
License State (7)
NY
Taxonomy (7)
Internal Medicine, Geriatric Medicine · 207RG0300X
Taxonomy (8)
General Practice · 208D00000X
Taxonomy (9)
Internal Medicine, Medical Oncology · 207RX0202X
License Number (10)
111281
License State (10)
NY
Taxonomy (10)
General Practice · 208D00000X · 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 Grand Street Medical PLLC?

The NPI number of Grand Street Medical PLLC is 1568485985. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Grand Street Medical PLLC?

Grand Street Medical PLLC is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NY under license number 111281.

Where does Grand Street Medical PLLC practice?

The practice location is 247 Grand St, Brooklyn, NY 11211-4302. The office can be reached at 718-782-4768 (phone) or 718-782-3677 (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 1568485985 directly on the NPPES registry website.

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