Charles R Grubb DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB033577 Issued in NJ

Legal business name

CHARLES R GRUBB DO PC

Practice address

311 Baltimore St
Phillipsburg, NJ 08865

Phone

(908) 454-8787

Fax

(908) 454-1192

NPI assigned

Nov 1, 2006

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryann Koukias

Title

Office Manager

Phone

(908) 454-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sirisha Chalasani, MD

  • Internal Medicine Physician
  • Dunnellon, FL
  • NPI 1508849068
  NPD (past)
• Raquel Nunez, MSN CRNP FNP-C

  • Family Nurse Practitioner
  • Bethlehem, PA
  • NPI 1942602560
  NPD (past)
• Hayman S Salib, MD

  • Hematology & Oncology Physician
  • Easton, PA
  • NPI 1114956067
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1114004546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BALTIMORE ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651627",
            "telephone_number": "908-454-8787",
            "fax_number": "908-454-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BALTIMORE ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-8787",
            "fax_number": "908-454-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R GRUBB DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "KOUKIAS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-454-8787"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB033577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02292400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Eva Cere, DDS
• CH Ambulatory Surgery Center of Lopatcong LLC
• Ashley Chambers
• Guo-Gang Chen, MD
• Parola Ronide Chery, MA
• Eiswarya Chichili, M.D.
• Choicepath LLC
• Adam Choudhry, PA-C

• Family Medicine Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.