CHRISTOPHER PAUL GRUDOWSKI MSN/FNP NPI 1821104647

NPI Information

  • NPI: 1821104647
  • Provider Name: CHRISTOPHER PAUL GRUDOWSKI, MSN/FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 BRIDGE ST
    CARTHAGE, NY
    ZIP 13619
  • Phone: (315) 493-4180

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NPI Details

Christopher Paul Grudowski, MSN/FNP is a family nurse practitioner in Carthage, NY with 25 years of experience. Christopher Paul Grudowski, MSN/FNP NPI is 1821104647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 BRIDGE ST
CARTHAGE, NY
ZIP 13619-333
Phone: (315) 493-4180
Fax: (315) 493-4188

The NPI 1821104647 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.

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
1363LF0000XNurse PractitionerFamilyF333844NEW 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
1DD3676MEDICARE ID-TYPE UNSPECIFIED
2P75042MEDICARE UPINNEW 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

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