Barbara R, Grocki, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

036031 Issued in NY

Practice address

142 Mineola Blvd
Suite 102
Mineola, NY 11501-3988

Phone

(516) 248-7883

Fax

(516) 248-7885

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 28, 2015 through Dec 28, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396954996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MINEOLA BLVD",
            "address_2": "SUITE 102",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013988",
            "telephone_number": "516-248-7883",
            "fax_number": "516-248-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MINEOLA BLVD",
            "address_2": "SUITE 102",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013988",
            "telephone_number": "516-248-7883",
            "fax_number": "516-248-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCKI",
        "first_name": "BARBARA",
        "middle_name": "R,",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milladge Maleek Griffin IV, MD
• Bogdan Andrei Grigorescu, M.D.
• Gregory Grinberg
• Sara Grisales Jaramillo, LMSW
• Justine Groarke, N.P.
• Jason D Gross, MD
• Joseph Gross, M.D.
• Loretta Gross
• Erica Grossman
• Zvi Grossman, MD

• Dentist in Mineola, NY
• Providers in Mineola, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.