Justin Peter Vangrouw

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

28-04 Broadway
Fair Lawn, NJ 07410-3920

Phone

(201) 791-4434

Fax

(201) 791-3423

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Garden State Orthopaedic Associates, PAGroup PAC ID 0941257158, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garden State Orthopaedic Associates, P.a.

  dba Garden State Orthopaedic Assoc, PA

  • Orthopaedic Surgery Physician
  • Fair Lawn, NJ
  • NPI 1689641409
  Medicare reassignment Care Compare group
• Garden State Orthopaedic Associates, P.a.

  • Orthopaedic Surgery Physician
  • Iselin, NJ
  • NPI 1720898729
  NPD
• Garden State Orthopaedic Associates, P.a.

  • Anesthesiology Physician
  • Fair Lawn, NJ
  • NPI 1891185294
  NPD
• Garden State Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fair Lawn, NJ
  • NPI 1891882031
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1740935048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103920",
            "telephone_number": "201-791-4434",
            "fax_number": "201-791-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103920",
            "telephone_number": "201-791-4434",
            "fax_number": "201-791-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGROUW",
        "first_name": "JUSTIN",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Valentine
• Sailaja Devi Valiveti, MD
• Brittany Van Sickle, ATC
• Vanaja Associates MD,P.C
• Brian Peter Vangrouw, D.O.
• Vantage Medical Associates NJ PC
• Regina Mathai Varghese
• Vibu Varghese, MD
• Vcorp Management Incorporated
• VDB Enterprises, LLC

• Medical Physician Assistant in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.

Verify at the official NPI Registry.