Warren Gradus , RPA-C
General Practice • Elmhurst, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Warren Gradus has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Warren Gradus, RPA-C was a registered General Practice practicing in Elmhurst, NY. Throughout an active medical career spanning 17 years, Warren Gradus provided care at the practice location at 1616 HAZEN ST until profile deactivation on 2023-12-20.
Practice Location & Contact Primary Location
1616 Hazen St
Elmhurst, NY 11370
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Elmhurst, NY
Practicing in Elmhurst, NY (818 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 20, 2023
NPI status registered as active in NPPES database
Registered at 1616 HAZEN ST, ELMHURST, NY 11370 (Tel: 7185461560)
Registered at 180 LASALLE DRIVE, NEW YORK, NY 10710 (Tel: 9147715427)
Recorded as WARREN GRADUS, RPA-C
General Practice (License #05727-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
180 Lasalle Drive
New York, NY 10710
Phone: 9147715427
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