Gary Richard Gromack, MED CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA000076 Issued in NJ

Practice address

601 Hamburg Tpke Ste 104
Wayne, NJ 07470

Phone

(862) 257-1370

NPI assigned

Sep 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Audiologist

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Clinic/Center
  • Watchung, NJ
  • NPI 1407368855
  NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1558556753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE STE 104",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702049",
            "telephone_number": "862-257-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE STE 104",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "862-257-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 South Maple Ave",
            "address_2": "Ste 112 Medical Arts Bldg",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "07452",
            "country_code": "US",
            "telephone_number": "201-447-1090",
            "fax_number": "201-447-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROMACK",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MED CCC A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00049600",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0007561",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00007600",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Grella, MD
• Kyle Greve
• Tatyana Grinchenko, DO
• Nicole Groat, AU.D.
• Marina Groisman, L.AC
• Susan A. Grossbard, PSY.D.
• Tomasz Adam Gruczynski, M.D.
• Martha Y Guardia, APN
• Carmen William Guarino, OTR/L
• Caroline Guarino

• Audiologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.