Individual provider Active NPI

Rebecca Maria Grutsch, M.D.

  • Anesthesiology Physician
  • Somers Point, NJ
National Provider Identifier
1093031908
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10638300 Issued in NJ
Practice address
405 Bethel Rd
Somers Point, NJ 08244-2108
Phone
(732) 945-3921
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 62309 WI
Anesthesiology Physician 207L00000X 036.138456 IL
Pediatric Anesthesiology Physician 207LP3000X 62309 WI
Pediatric Anesthesiology Physician 207LP3000X 036.138456 IL
Anesthesiology Physician 207L00000X 25MA10638300 NJ Primary

Addresses

Primary practice location

405 Bethel Rd
Somers Point, NJ 08244-2108

Mailing address

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 945-3921

Other identifiers 3

IdentifierTypeStateIssuer
1093031908MedicaidIL
1093031908MedicaidWI
1093031908MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151028000836 IL Practitioner - Anesthesiology 8224288063 Reassigns benefits to 1 organization
I20200327003209 NJ Practitioner - Anesthesiology 8224288063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Regional Medical CenterGroup PAC ID 0648181578, 86 clinicians

Practice addresses (Care Compare)

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Merit-based Incentive Payment System (MIPS)

Final score
79.93 of 100Reported as group
Quality
75.13
Promoting interoperability
100
Improvement activities
40
Cost
57.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.138456ILMDAnesthesiology Physician
25MA10638300NJMDAnesthesiology Physician
62309WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Mar 9, 2024 Accepting new patients
Atlanticare Regional Medical Center Anesthesiology CurrentSince Dec 17, 2019 Accepting new patients
Dupage Valley Anesthesiologists, LTD. Anesthesiology CurrentSince Nov 19, 2016 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Dec 17, 2019 Accepting new patients

Locations

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

387 Shuman Blvd
Ste 240W
Naperville, IL 60563

1263 Rickert Dr
Naperville, IL 60540
Phone (630) 305-3300

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600

Organizations & group practices 4

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1093031908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-945-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "732-945-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTSCH",
        "first_name": "REBECCA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "62309",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.138456",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "WI",
            "license": "62309",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "IL",
            "license": "036.138456",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10638300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093031908",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093031908",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093031908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.