Individual provider Active NPI

Shaina Jill Groisberg, M.D.

  • Child Abuse Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1285992214
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
Practice address
185 Washington St
Newark, NJ 07102-3011
Phone
(862) 240-4332
Fax
(203) 688-5599
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080C0008X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

185 Washington St
Newark, NJ 07102-3011

Mailing address

185 Washington St
Newark, NJ 07102-3011
Phone (862) 240-4332

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103002427 NJ Practitioner - Pediatric Medicine 9537405048 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Beth Israel Medical Center Inc CurrentSince Nov 13, 2018 Accepting new patients
Newark Beth Israel Medical Center Inc Single Specialty CurrentSince Nov 13, 2018 Accepting new patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Aug 8, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 8, 2024 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

185 Washington St
Newark, NJ 07102
Phone (862) 240-4332

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: sgroisberg229329@epicdirect.rwjbh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1285992214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023011",
            "telephone_number": "862-240-4332",
            "fax_number": "739-297-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023011",
            "telephone_number": "862-240-4332",
            "fax_number": "203-688-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROISBERG",
        "first_name": "SHAINA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.