Stephen Grober, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20813 Issued in NJ

Practice address

2115 US Highway 22 W
Union, NJ 07083-8403

Phone

(732) 750-0707

Fax

(732) 750-4240

NPI assigned

Mar 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Eastern Dental of Union, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Union, NJ
  • NPI 1184772188

  General Practice

  NPD (past) Authorized official
• Eastern Dental of Laurel Springs, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laurel Springs, NJ
  • NPI 1154448744

  General Practice

  NPD (past)
• Eastern Dental of Vineland, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vineland, NJ
  • NPI 1033236625

  General Practice

  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154445153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 US HIGHWAY 22 W",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838403",
            "telephone_number": "732-750-0707",
            "fax_number": "732-750-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBER",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "20813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Mitchell Greenberg, OPTICAIN
• Robert I Greenblatt, M.D.
• Ajit S Grewal, RPH
• Claire Nathalie Grigaux, M.D.
• Grigory Rasin LLC
• Lucia Groner
• David Eric Gross, M.D.
• Grouphome.Care LLC
• Kunal Grover, MD
• Kia Calhoun Grundy, M.D.

• All providers in Union, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.