Active NPI
James Leo Groff, D.O.
- Trauma Surgery Physician
- Bridgehampton, NY
National Provider Identifier
1598050155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 296108
- Practice address
- 2454 Main Street
Bridgehampton, NY 11932 - Phone
- (631) 919-5205
- NPI assigned
- Jun 12, 2011
- Last updated
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 296108 | NY | Primary |
Addresses
Primary practice location
2454 Main Street
Bridgehampton, NY 11932
Mailing address
9 Shawnee St
Hampton Bays, NY 11946-1741
Phone (631) 538-8688
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9 Shawnee St
Hampton Bays, NY 11946-1741
Phone (631) 919-5205
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296108 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhead Surgery, PC | Single Specialty | Current | Accepting new patients |
| James Groff Medical P.C. | Single Specialty | Current | Accepting new patients |
| Tech Medical Office, PC | Single Specialty | Current | Accepting new patients |
| Asma Rashid Medical P.C. | Single Specialty | Current | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
4 Technology Dr
Ste 220
Setauket, NY 11733
Phone (631) 364-9581
Interoperability endpoints
- https://api.platform.athenahealth.com/22930/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Bridgehampton, NY
- NPI 1609492404
Single Specialty
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1598050155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SHAWNEE ST",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119461741",
"telephone_number": "631-538-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 MAIN STREET",
"city": "BRIDGEHAMPTON",
"state": "NY",
"postal_code": "11932",
"telephone_number": "631-919-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROFF",
"first_name": "JAMES",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-12",
"last_updated": "2021-12-29",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "296108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgehampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.