Individual provider Active NPI

Dorota Malyszek Gribbin

  • Physical Medicine & Rehabilitation Physician
  • Mercerville, NJ
National Provider Identifier
1003951112
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MAO5867000 Issued in NJ
Practice address
2333 Whitehorse Mercerville Rd
Suite 8
Mercerville, NJ 08619-1946
Phone
(609) 588-0540
Fax
(609) 588-0197
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MAO5867000 NJ Primary

Addresses

Primary practice location

2333 Whitehorse Mercerville Rd
Suite 8
Mercerville, NJ 08619-1946

Mailing address

2333 Whitehorse Mercerville Rd
Ste 8
Mercerville, NJ 08619-1946
Phone (609) 588-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000266 NJ Practitioner - Physical Medicine and Rehabilitation 8628101383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain and Rehabilitation Center P.a.Group PAC ID 7719010479, 2 clinicians

Practice addresses (Care Compare)

2333 Whitehorse Mercerville Rd
Suite 8
Hamilton, NJ 08619-1946
Phone (609) 588-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO5867000NJMDPhysical Medicine & Rehabilitation Physician

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEDBA/Endpoint/HIEDBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1003951112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 WHITEHORSE MERCERVILLE RD",
            "address_2": "STE 8",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191946",
            "telephone_number": "609-588-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 8",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191946",
            "telephone_number": "609-588-0540",
            "fax_number": "609-588-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBIN",
        "first_name": "DOROTA",
        "middle_name": "MALYSZEK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MAO5867000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.