Individual provider Active NPI

Pamela Grover, M.D.

  • Internal Medicine Physician
  • Maplewood, NJ
National Provider Identifier
1649450990
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08290000 Issued in NJ
Practice address
2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone
(973) 763-5765
Fax
(973) 763-0505
NPI assigned
Nov 4, 2007
Last updated
Nov 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08290000 NJ Primary

Addresses

Primary practice location

2168 Millburn Ave
Maplewood, NJ 07040-2640

Mailing address

2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone (973) 763-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20100622000074 NJ Practitioner - Internal Medicine 2769513605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grover Medical Associates LLCGroup PAC ID 5092036137, 2 clinicians

Practice addresses (Care Compare)

2168 Millburn Ave
Maplewood, NJ 07040-2640
Phone (973) 763-5765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grover Medical Associates, LLC Internal Medicine CurrentSince Apr 18, 2015 Accepting new patients

Locations

2168 Millburn Ave
Maplewood, NJ 07040
Phone (973) 763-1248

2168 Millburn Ave
Ste 101
Maplewood, NJ 07040
Phone (973) 763-5765

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, 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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1649450990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-763-5765",
            "fax_number": "973-763-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-763-5765",
            "fax_number": "973-763-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08290000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.