NPIMap

Organization Active NPI

Jay C Grochmal, M.D., P.a.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1457547762
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0016999 Issued in MD
Legal business name
JAY C GROCHMAL, M.D., P.A.
Practice address
405 Frederick Rd
Suite 102
Baltimore, MD 21228-4645
Phone
(410) 744-5310
Fax
(410) 744-7924
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Jay C Grochmal, M.D.
Title
President
Phone
(410) 744-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0016999 MD Primary

Addresses

Primary practice location

405 Frederick Rd
Suite 102
Baltimore, MD 21228-4645

Mailing address

405 Frederick Rd
Suite 102
Baltimore, MD 21228-4645
Phone (410) 744-5310

National Provider Directory

National Provider Directory

Locations

405 Frederick Rd
Ste 102
Catonsville, MD 21228
Phone (410) 744-3310

4801 Dorsey Hall Dr
Ste 110
Ellicott City, MD 21042
Phone (410) 744-5310

4801 Dorsey Hall Dr
Ellicott City, MD 21042
Phone (301) 498-5500

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1457547762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-744-5310",
            "fax_number": "410-744-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-744-5310",
            "fax_number": "410-744-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY C GROCHMAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "GROCHMAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-744-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0016999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.