Individual ProviderGennadiy GrutmanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-5286PECOS EnrollmentBased on the most recent information from CMS, provider Gennadiy Grutman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487950762Provider TypeIndividualFull NameGrutman, GennadiyTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date2/2/2011Last Updated3/28/2023Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-5286FaxUnlisted FaxMailing LocationMailing Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-5286FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense266521New York