Individual provider Active NPI

Arvind K Grover, M.D.

  • Internal Medicine Physician
  • Maplewood, NJ
National Provider Identifier
1306986914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04641800 Issued in NJ
Practice address
2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone
(973) 763-5765
Fax
(973) 763-0505
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04641800 NJ Primary

Addresses

Primary practice location

2168 Millburn Ave
Maplewood, NJ 07040-2640

Mailing address

8 Fords Rd
Randolph, NJ 07869-2123
Phone (973) 366-6232

Other identifiers 1

IdentifierTypeStateIssuer
0285404MedicaidNJ

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
I20100621000087 NJ Practitioner - Internal Medicine 0143350009 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Maplewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grover Medical Associates LLCGroup PAC ID 5092036137, 2 clinicians

Practice addresses (Care Compare)

2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone (973) 763-5765

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grover Medical Associates, LLC Internal Medicine CurrentSince Apr 18, 2015 Accepting new patients

Locations

2168 Millburn Ave
Ste 101
Maplewood, NJ 07040
Phone (973) 763-5765

2168 Millburn Ave
Maplewood, NJ 07040
Phone (973) 763-1248

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306986914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FORDS RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692123",
            "telephone_number": "973-366-6232",
            "fax_number": "973-763-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-763-5765",
            "fax_number": "973-763-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "ARVIND",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04641800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.