GENESIS GRULLON RN NP NPI 1477947877

NPI Information

  • NPI: 1477947877
  • Provider Name: GENESIS GRULLON, RN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 803 W 180TH ST
    APT 5
    NEW YORK, NY
    ZIP 10033
  • Phone: (917) 405-5490

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NPI Details

Genesis Grullon, RN, NP is a family nurse practitioner in New York, NY with 10 years of experience. Genesis Grullon, RN, NP NPI is 1477947877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

803 W 180TH ST
APT 5
NEW YORK, NY
ZIP 10033-543
Phone: (917) 405-5490

The NPI 1477947877 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 3/24/2015 and was last updated on 2/16/2016.

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
1163W00000XRegistered Nurse672663NEW YORKNo
2363LF0000XNurse PractitionerFamily340240NEW YORKYes

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

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