Organization Active NPI

James Groff Medical P.C.

  • Trauma Surgery Physician
  • Bridgehampton, NY
National Provider Identifier
1235890815
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
JAMES GROFF MEDICAL P.C.
Practice address
2454 Main St
Bridgehampton, NY 11932
Phone
(631) 919-5205
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
James Leo Groff, DONPI 1598050155
Title
Owner
Phone
(631) 919-5205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

2454 Main St
Bridgehampton, NY 11932

Mailing address

9 Shawnee St
Hampton Bays, NY 11946-1741
Phone (631) 538-8688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220601002300 NY Part B Supplier - Clinic/Group Practice 5991183089 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgehampton, NY; Hampton Bays, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1235890815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHAWNEE ST",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461741",
            "telephone_number": "631-538-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 MAIN ST",
            "city": "BRIDGEHAMPTON",
            "state": "NY",
            "postal_code": "11932",
            "telephone_number": "631-919-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES GROFF MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-919-5205",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgehampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.