GRIGORY SHTENDER PHYSICIANPC NPI 1396817094

NPI Information

  • NPI: 1396817094
  • Provider Name: GRIGORY SHTENDER PHYSICIAN,PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3001 BRIGHTON 1ST ST
    BROOKLYN, NY
    ZIP 11235
  • Phone: (718) 368-0100

Map and Directions

Get Directions

NPI Details

GRIGORY SHTENDER PHYSICIAN,PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GRIGORY SHTENDER PHYSICIAN,PC NPI is 1396817094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3001 BRIGHTON 1ST ST
BROOKLYN, NY
ZIP 11235-008
Phone: (718) 368-0100
Fax: (718) 368-1208

The provider's authorized official is Grigory Shtender .
The authorized official title is President and has the following contact phone number (718) 368-0100.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 9/20/2007.

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
1174400000XSpecialist218261NEW YORKYes

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
1WNW011MEDICARE PINNEW 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI