Individual provider Active NPI

Eric Grubman, MD, FACC, NASPE

  • Clinical Cardiac Electrophysiology Physician
  • North Haven, CT
National Provider Identifier
1124039490
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036758 Issued in CT
Practice address
2 Devine Street
Suite # 1
North Haven, CT 06473-2193
Phone
(203) 789-2272
Fax
(203) 865-8614
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 036758 CT Primary
Cardiovascular Disease Physician 207RC0000X 036758 CT

Addresses

Primary practice location

2 Devine Street
Suite # 1
North Haven, CT 06473-2193

Mailing address

2 Devine Street
Suite # 1
North Haven, CT 06473-2193
Phone (203) 789-2272

Other identifiers 2

IdentifierTypeStateIssuer
060050666OtherCTMEDICARE RAILROAD PIN
001367582MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20061221000503 CT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 4587664503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

111 Goose LN
Guilford, CT 06437-5101
Phone (203) 747-7300

1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 876-4000

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081

6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-8300

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036758CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Greater Waterbury LLC Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Yale University CurrentSince Mar 21, 2013 Accepting new patients
Prospect Waterbury, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Yale University CurrentSince Mar 21, 2013 Accepting new patients
Cardiology Associates of New Haven, PC Cardiovascular Disease Past Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

15 Valley Dr
Ste 2
Greenwich, CT 06831
Phone (203) 869-2111

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

2 Devine St
#1
North Haven, CT 06473
Phone (203) 789-2272

633 Middlesex Tpke
Old Saybrook, CT 06475
Phone (860) 388-5831

455 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-1435

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

5 Pequot Park Rd
Ste 101
Westbrook, CT 06498
Phone (860) 399-3100

Interoperability endpoints

  • Direct secure messaging: egrubman3310@direct.ynhh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1124039490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEVINE STREET",
            "address_2": "SUITE # 1",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732193",
            "telephone_number": "203-789-2272",
            "fax_number": "203-865-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEVINE STREET",
            "address_2": "SUITE # 1",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732193",
            "telephone_number": "203-789-2272",
            "fax_number": "203-865-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBMAN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD, FACC, NASPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "036758",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "036758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "060050666",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001367582",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.