Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE FORDE, M.D.
DeactivatedGRACE FORDE, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in GREAT NECK, New York. NPI 1508861816 is deactivated in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · GREAT NECK, NY
This NPI has been deactivated.
The record was deactivated on August 21, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508861816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2005 (18.18306010929 yrs)
- Last Updated
- Feb 11, 2026
- Deactivated
- Aug 21, 2023
- Licenses
-
207390 (NY)207390 (NY)207390 (NY)74667 (AZ)207390 (NY)
Practice Information
- Address
-
170 GREAT NECK RDGREAT NECK, NY, 110213357Browse NY providers · Browse ZIP 11021
- Phone
- 5164874464
- Fax
- 5164874950
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Neurology
- Additional Specialty
- Anesthesiology
Other Pain Medicine (Anesthesiology) Providers in GREAT NECK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. DHEERAJ RAJENDRANNAIR KAMALAM | MD | 1801968268 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.