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Angelique Grissom
NPI 1457613432 · Specialist · Middletown, NY
Angelique Grissom is a Specialist provider in Middletown, NY (NPI 1457613432).
Provider details
- NPI number
- 1457613432
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31 Washington St
Middletown, NY 10940-5234
Phone: (347) 420-1472
Street-level locationGet directions
Mailing address
31 Washington St
Middletown, NY 10940-5234
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2012-06-14
Frequently asked questions
- What is Angelique Grissom's NPI number?
- Angelique Grissom's National Provider Identifier (NPI) is 1457613432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angelique Grissom's specialty?
- Angelique Grissom is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Angelique Grissom located?
- Angelique Grissom's practice location on file with NPPES is 31 Washington St, Middletown, NY 10940-5234.
- What is Angelique Grissom's phone number?
- The practice phone number listed in the NPPES registry for Angelique Grissom is (347) 420-1472.
- Is Angelique Grissom's NPI active?
- Yes — Angelique Grissom's NPI (1457613432) is active in the NPPES registry as of the last update on 2012-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.