Active NPI
Stephen A Grochmal, M.D.
- Specialist
- Montclair, NJ
National Provider Identifier
1124153028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03884200
- Practice address
- 29 The Cres
Montclair, NJ 07042-2674 - Phone
- (201) 696-6945
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03884200 | NJ | Primary |
Addresses
Primary practice location
29 The Cres
Montclair, NJ 07042-2674
Mailing address
33 E Midland Ave # 1307
Paramus, NJ 07652-2916
Phone (201) 450-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03884200 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1124153028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 E MIDLAND AVE # 1307",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522916",
"telephone_number": "201-450-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 THE CRES",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422674",
"telephone_number": "201-696-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROCHMAL",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03884200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.