Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Massiel Grullon

Individual provider Family Nurse Practitioner · NPI 1912248675

Massiel Grullon is a Nurse Practitioner in Far Rockaway, New York. Qualified in 2012, 14 years ago. Practices with Vantage Medical Associates PC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

1612 Central Ave Ste 201
Far Rockaway, NY 11691-4002
Phone: (248) 860-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Maple Ave, White Plains, NY 10601-4706 — (914) 849-7205

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 337140 (NY)

Record details

NPI number1912248675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2013
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address559 Mile Square Rd, Yonkers, NY 10701-6345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Vantage Medical Associates Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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