MISS JOHANNA VICTORIA GRIMALDI NP NPI 1194483297

NPI Information

NPI: 1194483297
Provider Name: MISS JOHANNA VICTORIA GRIMALDI, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1468 MADISON AVE
NEW YORK, NY
ZIP 10029
Phone: (212) 241-6500
Get Directions

MISS Johanna Victoria Grimaldi, NP is an acute care nurse practitioner in New York, NY. MISS Johanna Victoria Grimaldi, NP NPI is 1194483297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1468 MADISON AVE
NEW YORK, NY
ZIP 10029-508
Phone: (212) 241-6500

The NPI 1194483297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 5/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		26NR20140300	NEW JERSEY	No
2	163W00000X	Registered Nurse		748106	NEW YORK	No
3	363LA2100X	Nurse Practitioner	Acute Care	F432189	NEW YORK	No
4	363LA2100X	Nurse Practitioner	Acute Care	432189	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07250333	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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