Lorraine V Grinka, MID LEVEL NURSE PRAC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26NN04587700 Issued in NJ

Practice address

48 Ansley Blvd
Seashore Medical Assoc
Pleasantville, NJ 08232-3058

Phone

(609) 641-1077

Fax

(609) 641-1023

NPI assigned

Nov 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Visiting Physician Associates of South Jersey LLC

  • Gerontology Nurse Practitioner
  • Hammonton(Elm), NJ
  • NPI 1306993951
  NPD (past)

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043399405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "address_2": "SEASHORE MEDICAL ASSOC",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINKA",
        "first_name": "LORRAINE",
        "middle_name": "V",
        "credential": "MID LEVEL NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "26NN04587700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Harris Goodman, D.D.S.
• Grace Medical LLC
• Laverne Graves-Washington, FNP-C
• Robin Lynn Gray, O.D.
• Green-Wood Associates
• Kathy Harvey, LCADC, LCSW
• Kathleen E Hass
• Tkeyah Hose
• Hospitaler Sisters of Mercy
• Nicole R House, RN

• Internal Medicine Physician in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.