Individual provider Active NPI

Jeffrey Grochowsky, M.S.

  • Case Manager/Care Coordinator
  • Vero Beach, FL
National Provider Identifier
1124428883
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1945 22ND Ave
Vero Beach, FL 32960-3083
Phone
(772) 257-5264
Fax
(772) 257-5265
NPI assigned
Sep 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1945 22ND Ave
Vero Beach, FL 32960-3083

Mailing address

1945 22ND Ave
Vero Beach, FL 32960-3083
Phone (772) 257-5264

Other names 1

  • Mr. Jeffrey Grochowsky Former name

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1124428883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 22ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603083",
            "telephone_number": "772-257-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 22ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603083",
            "telephone_number": "772-257-5264",
            "fax_number": "772-257-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHOWSKY",
        "first_name": "JEFFREY",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "GROCHOWSKY",
            "prefix": "MR.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.