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

Nicholas Grillo, MD

Individual provider Emergency Medicine Physician · NPI 1649767450

Nicholas Grillo, MD is a Family Practice in Utica, New York. Qualified in 2017, 9 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Connecticut and Maine.

Years since qualifying
9
Licensed in
CT, ME
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Hobart St
Utica, NY 13501-4308
Phone: (315) 801-1149
Fax: (315) 801-3565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 72549 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD24449 (ME)

Record details

NPI number1649767450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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