Organization Active NPI

S.M. Grover, Mdpa

  • Orthopaedic Surgery Physician
  • South Amboy, NJ
National Provider Identifier
1265761183
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA02616000 Issued in NJ
Legal business name
S.M. GROVER, MDPA
Practice address
979 US Highway 9
South Amboy, NJ 08879-3302
Phone
(732) 721-7700
Fax
(732) 721-2300
NPI assigned
Dec 24, 2009
Last updated
Dec 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Surender M Grover, M.D.NPI 1437370004
Title
President
Phone
(732) 721-7700

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
Orthopaedic Surgery Physician 207X00000X 25MA02616000 NJ Primary

Addresses

Primary practice location

979 US Highway 9
South Amboy, NJ 08879-3302

Mailing address

979 Highway 9
South Amboy, NJ 08879-3302
Phone (732) 721-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000021 NJ Part B Supplier - Clinic/Group Practice 9739229501 Receives reassigned benefits from 1 practitioner
Practice locations: South Amboy, NJ

National Provider Directory

National Provider Directory

Locations

1632 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-2600

979 US Highway 9
South Amboy, NJ 08879
Phone (732) 721-7700

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": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1265761183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 HIGHWAY 9",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793302",
            "telephone_number": "732-721-7700",
            "fax_number": "732-721-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 US HIGHWAY 9",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793302",
            "telephone_number": "732-721-7700",
            "fax_number": "732-721-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.M. GROVER, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "SURENDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-721-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA02616000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.