Jay C Grochmal, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

D16000 Issued in MD

Practice address

405 Frederick Rd
Suite 102
Catonsville, MD 21228-4645

Phone

(410) 744-5310

Fax

(410) 744-7924

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1114914496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-744-5310",
            "fax_number": "410-744-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-744-5310",
            "fax_number": "410-744-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHMAL",
        "first_name": "JAY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D16000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "968611801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Gregor, LMSW
• Brandi Grier, LGPC
• Hope U Griffin, MD
• Jennifer J Griffin, DDS
• Jessica Caley Devlin Grisard, LCSW-C
• Brittany Grooms
• Dara Grosberg, PSYD
• Nicholas Patrick Grosso, MD
• Sherri L Gruneberg, MD
• Liam Anthony Guenther, MD

• Specialist in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.