Active NPI
Robert M Griffin Jr., D.O.
- Specialist
- Wyomissing, PA
National Provider Identifier
1528064318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OS006070E
- Practice address
- 2760 Century Blvd
Wyomissing, PA 19610-3359 - Phone
- (610) 375-4251
- Fax
- (610) 375-6210
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OS006070E | PA | Primary |
Addresses
Primary practice location
2760 Century Blvd
Wyomissing, PA 19610-3359
Mailing address
2760 Century Blvd
Wyomissing, PA 19610-3359
Phone (610) 375-4251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011966560001 | Medicaid | PA | |
| 1528064318 | Other | PA | NPI |
| 0011966560001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Osteoporosis Center, Inc. | Specialist | Current | Accepting new patients |
| Infusion Center of Berks County PC | Current | Accepting new patients |
Locations
401 Buttonwood St
West Reading, PA 19611
Phone (610) 375-4251
2760 Century Blvd
Wyomissing, PA 19610
Phone (610) 375-4251
2760 Century Blvd
Ste 3
Wyomissing, PA 19610
Phone (610) 375-4251
Interoperability endpoints
- https://api.platform.athenahealth.com/3215/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- Wyomissing, PA
- NPI 1194786491
-
- Infusion Therapy Clinic/Center
- Wyomissing, PA
- NPI 1811419088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1528064318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 CENTURY BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103359",
"telephone_number": "610-375-4251",
"fax_number": "610-375-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 CENTURY BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103359",
"telephone_number": "610-375-4251",
"fax_number": "610-375-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "OS006070E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011966560001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1528064318",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011966560001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.