Individual provider Active NPI

Rafia Nicola Grooms, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1043712003
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00854600 Issued in NJ
Practice address
432 Ganttown Rd Ste 103
Sewell, NJ 08080-1895
Phone
(856) 965-1000
Fax
(856) 965-1001
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018667 PA
Family Nurse Practitioner 363LF0000X 26NJ00854600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00854600 NJ Primary

Addresses

Primary practice location

432 Ganttown Rd Ste 103
Sewell, NJ 08080-1895

Mailing address

701 Devonshire Dr
Williamstown, NJ 08094-3897
Phone (215) 888-5605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, CT, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180716000044 PA Practitioner - Nurse Practitioner 9739436239 Reassigns benefits to 1 organization
I20181220001959 NJ Practitioner - Nurse Practitioner 9739436239 Reassigns benefits to 3 organizations
I20250226000817 CT Practitioner - Nurse Practitioner 9739436239 Reassigns benefits to 1 organization
I20250226001308 DE Practitioner - Nurse Practitioner 9739436239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

521 Sicklerville Rd
Suite 3
Sicklerville, NJ 08081-2636
Phone (856) 956-1000

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Nov 1, 2024 Accepting new patients
Elite Home Healthcare Services LLC CurrentSince Jun 23, 2024 Accepting new patients
Elite Integrated Health LLC CurrentSince Sep 25, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Dec 6, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 6, 2024 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

432 Ganttown Rd
Ste 103
Sewell, NJ 08080
Phone (856) 956-1000

521 Sicklerville Rd
Ste 3
Sicklerville, NJ 08081
Phone (856) 956-1000

11 Shenango Rd
Ste 1
New Castle, PA 16105
Phone (724) 657-1881

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • Direct secure messaging: rafia.groomsapn.p1@direct.cfg.nextgenshare.com

Organizations & group practices 5

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1043712003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943897",
            "telephone_number": "215-888-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 GANTTOWN RD STE 103",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801895",
            "telephone_number": "856-965-1000",
            "fax_number": "856-965-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "RAFIA",
        "middle_name": "NICOLA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00854600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00854600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.