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Grand Street Medical Pllc

General Practice Physician in Brooklyn, NY · enumerated 2006 · authorized official Hema Gandhi, Administration.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568485985

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Street Medical Pllc
Other name <Unavail>
Practice address 247 Grand St, Brooklyn, NY, 11211
Phone (718) 782-4768
Fax (718) 782-3677
Enumeration date Jul 26, 2006
Last updated in NPPES Jun 12, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Secondary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Secondary
207RX0202X Medical Oncology Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 111281 (NY) Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Hema Gandhi
Title Administration
Phone (718) 782-4768

Other identifiers

Identifier Type State Issuer
GJ617239 Other NY GHI
0192659 Other NY GRAND STREET MEDICAL PC
12295130 Other - CAQH
55247 Other NY HIP
00199748 Medicaid NY -
11128160NY Other NY 1199 NATIONAL BENEFIT
WPPD41 Medicaid NY -
03196274 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Grand Street Medical Pllc?
Grand Street Medical Pllc is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-12.