Individual provider Active NPI

Robert Michael Grife, M.D.

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1306042130
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08257100 Issued in NJ
Practice address
401 Country Club CT
Cherry Hill, NJ 08003-3310
Phone
(609) 350-6680
Fax
(609) 823-9505
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08257100 NJ Primary

Addresses

Primary practice location

401 Country Club CT
Cherry Hill, NJ 08003-3310

Mailing address

23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7000

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
I20080404000278 NJ Practitioner - Family Practice 3678650330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 Route 70 E
Suite G103
Marlton, NJ 08053-2548
Phone (609) 350-6680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08257100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Family Medicine CurrentSince Mar 8, 2015 Accepting new patients
Robert Michael Grife Enterprises, LLC Family Medicine CurrentSince Nov 22, 2010 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 8, 2015 Accepting new patients
Boost Physio and Performance PastSince Apr 1, 2024 Accepting new patients
Multiple Sclerosis Specialty Center PastSince Feb 12, 2025 Accepting new patients

Locations

175 W Cohawkin Rd
Ste C
Clarksboro, NJ 08020

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

777 Route 70 E
Ste G103
Marlton, NJ 08053
Phone (609) 350-6680

6601 Ventnor Ave
Ste 105
Ventnor City, NJ 08406
Phone (609) 350-6680

6601 Ventnor Ave
Ste 12
Ventnor City, NJ 08406
Phone (609) 350-6680

Organizations & group practices 5

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1306042130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7000",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COUNTRY CLUB CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033310",
            "telephone_number": "609-350-6680",
            "fax_number": "609-823-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFE",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08257100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.