Individual provider Active NPI

Jeffrey Gruskay, MD

  • Neonatal-Perinatal Medicine Physician
  • Milford, CT
National Provider Identifier
1588674345
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
026920 Issued in CT
Practice address
50 Commerce Park
Milford, CT 06460-3565
Phone
(203) 882-2066
Fax
(203) 882-2074
NPI assigned
Aug 8, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036920 CT
Neonatal-Perinatal Medicine Physician 2080N0001X 026920 CT Primary

Addresses

Primary practice location

50 Commerce Park
Milford, CT 06460-3565

Mailing address

50 Commerce Park
Milford, CT 06460-3565
Phone (203) 882-2066

Other practice location 1

1 Golden Hill St
Milford, CT 06460-4630
Phone (203) 882-2066

Other identifiers 1

IdentifierTypeStateIssuer
1269208MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036920CTMDPediatrics Physician
026920CTMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Pediatric Group, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.gruskay@milfordpeds.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1588674345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603565",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603565",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Golden Hill St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064604630",
            "country_code": "US",
            "telephone_number": "203-882-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUSKAY",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "036920",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CT",
            "license": "026920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269208",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.