Timothy D. Groth MD PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TIMOTHY D. GROTH MD PC

Practice address

994 W Jericho Tpke
Suite104
Smithtown, NY 11787-3235

Phone

(631) 543-1440

Fax

(631) 543-1930

NPI assigned

Jun 16, 2006

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy D Groth, M.D.NPI 1093742272

Title

Physician

Phone

(631) 543-1440

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy D Groth, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Smithtown, NY
  • NPI 1093742272
  Medicare reassignment Care Compare group NPD Authorized official
• Vincent Gerard Alestra, AGPCNP, RN

  • Nurse Practitioner
  • Smithtown, NY
  • NPI 1760004402
  Medicare reassignment Care Compare group NPD
• Christopher Amen, DO

  • Physical Medicine & Rehabilitation Physician
  • Smithtown, NY
  • NPI 1205323961

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Erin Elizabeth Angotta, AGNP

  • Nurse Practitioner
  • Smithtown, NY
  • NPI 1336978048
  Medicare reassignment Care Compare group NPD
• Safiyah Asma Chowdhury, PA-C

  • Physician Assistant
  • New Hyde Park, NY
  • NPI 1598645657
  Medicare reassignment Care Compare group NPD
• Christina Decosta, NP

  • Adult Health Nurse Practitioner
  • Smithtown, NY
  • NPI 1033885736
  Medicare reassignment Care Compare group NPD
• Taylor Groth, PHD

  • Clinical Psychologist
  • Smithtown, NY
  • NPI 1376274787
  Medicare reassignment Care Compare group NPD
• Maria Halasz, LCSW

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1982036703
  Medicare reassignment Care Compare group NPD
• Yaseen Karim, M.D.

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1265895783

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Jamal Khan, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smithtown, NY
  • NPI 1447646930
  Medicare reassignment Care Compare group NPD
• Olga Komargodski, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smithtown, NY
  • NPI 1407370703
  Medicare reassignment Care Compare group NPD
• Carlos C Marrero Prats, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Smithtown, NY
  • NPI 1063708568
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1720022015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-543-1440",
            "fax_number": "631-543-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-543-1440",
            "fax_number": "631-543-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D. GROTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GROTH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-543-1440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Yarrobino, PT, PC (Optimum Physical Therapy)
• Judith Yvette Thomas, ANP-C
• Robert Thompson
• Shelbi A Thurau, RD
• Erin Tierney, PA-C
• Timothy P Aiello Nurse Practitioner in Psychiatry PLLC
• David James Tiseo, PTA
• Lauren Tita
• TKR Inc
• TMSS Pharmaceutical Inc. (Lowe Drugs)

• Multi-Specialty Clinic/Center in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.