Jay Alan Grotas, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

124807 Issued in NY

Practice address

3079 Brighton 13TH St
Brooklyn, NY 11235

Phone

(718) 743-0101

Fax

(718) 743-8977

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Urology

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jay a Grotas MD PC

  • Urology Physician
  • Brooklyn, NY
  • NPI 1760704670
  Medicare reassignment NPD Authorized official
• Urologic Surgical Care LLC

  • Non-Pharmacy Dispensing Site
  • Lawrence, NY
  • NPI 1245076124
  NPD (past)
• Urologic Surgical Care PLLC

  • Urology Physician
  • Lawrence, NY
  • NPI 1366612434
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548277221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-0101",
            "fax_number": "718-743-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-0101",
            "fax_number": "718-743-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTAS",
        "first_name": "JAY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "124807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00366601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana M Grosvenor
• Lisa Grosvenor
• Lucie D. Grosvenor, LCSW
• Malka Grosz
• Karolina Groszek, PA
• Lauren Grotell, MD
• Lilianna Josephine Grotewohl
• Rhoda Groton McKinnis
• Ira A Grotsky, M. ED. S.A.S.
• Rachel Grottola

• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician 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.
• 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.