Jacek Grzybowski MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JACEK GRZYBOWSKI MD LLC

Practice address

812 N Wood Ave
Suite 201
Linden, NJ 07036-4058

Phone

(908) 587-9611

Fax

(908) 587-9622

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacek Grzybowski, MDNPI 1225038508

Title

Owner

Phone

(908) 587-9611

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacek Grzybowski, MD

  • Pediatrics Physician
  • Linden, NJ
  • NPI 1225038508
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1306976428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N WOOD AVE",
            "address_2": "SUITE 201",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364058",
            "telephone_number": "908-587-9611",
            "fax_number": "908-587-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N WOOD AVE",
            "address_2": "SUITE 201",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364058",
            "telephone_number": "908-587-9611",
            "fax_number": "908-587-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACEK GRZYBOWSKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "GRZYBOWSKI",
        "authorized_official_first_name": "JACEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-587-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059862",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Image Care NJ LLC
• Dean Gabriel Imbemba, PA-C
• Peter Ishak, PHARM.D.
• Kareem Issa
• Valeriia Ivanova
• Lisa M Jackson
• Carlos Jaramillo
• Shieldy Jean Louis, RN
• Rachele Jeanlouis
• Jersey Diagnostic Imaging, LLC

• Pediatrics Physician in Linden, NJ
• Providers in Linden, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.