Individual provider Active NPI

Katherine Grasso, NP

  • Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1184093106
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00589200 Issued in NJ
Practice address
525 Jack Martin Blvd Ste 300
Brick, NJ 08724-7737
Phone
(732) 840-0067
Fax
(732) 548-7408
NPI assigned
Sep 21, 2015
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00589200 NJ Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NJ005892500 NJ

Addresses

Primary practice location

525 Jack Martin Blvd Ste 300
Brick, NJ 08724-7737

Mailing address

19 Davis Ave FL 6
Neptune, NJ 07753-4488
Phone (732) 897-3990

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502000290 NJ Practitioner - Nurse Practitioner 1052675816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

525 Jack Martin Blvd
Suite 300
Brick, NJ 08724-7737
Phone (732) 840-0067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00589200NJMDNurse Practitioner
26NJ005892500NJMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Mar 24, 2018 Accepting new patients
Allied Digestive Health, LLC CurrentSince Jun 1, 2021 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

525 Jack Martin Blvd
Ste 300
Brick, NJ 08724
Phone (732) 840-0067

27 S Cooks Bridge Rd
Ste 2-17
Jackson, NJ 08527
Phone (732) 721-7227

19 Davis Ave
Fl 6
Neptune, NJ 07753
Phone (732) 897-3990

2240 State Route 33
Ste Aim
Neptune, NJ 07753
Phone (732) 897-3990

2240 State Route 33
Ste A
Neptune City, NJ 07753

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1184093106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 6",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-897-3990",
            "fax_number": "732-897-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD STE 300",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247737",
            "telephone_number": "732-840-0067",
            "fax_number": "732-548-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00589200",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NJ005892500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.