NPIMap

Organization Active NPI

Tomasz Grochowalski MD PA

  • Internal Medicine Physician
  • South Amboy, NJ
National Provider Identifier
1760448609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA065561 Issued in NJ
Legal business name
TOMASZ GROCHOWALSKI MD PA
Practice address
2045 State Route 35
Suite 202
South Amboy, NJ 08879-2069
Phone
(732) 721-5511
Fax
(732) 721-2007
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tomasz K Grochowalski, M.D.NPI 1265495980
Title
Director
Phone
(732) 721-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA065561 NJ Primary

Addresses

Primary practice location

2045 State Route 35
Suite 202
South Amboy, NJ 08879-2069

Mailing address

2045 State Route 35
Suite 202
South Amboy, NJ 08879-2069
Phone (732) 721-5511

Other identifiers 4

IdentifierTypeStateIssuer
2590012OtherNJGHI
4986761OtherNJCIGNA
P3000218OtherNJOXFORD
3214640OtherNJAETNA

National Provider Directory

National Provider Directory

Locations

318 Ernston Rd
Parlin, NJ 08859
Phone (732) 721-3422

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760448609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 STATE ROUTE 35",
            "address_2": "SUITE 202",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792069",
            "telephone_number": "732-721-5511",
            "fax_number": "732-721-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 STATE ROUTE 35",
            "address_2": "SUITE 202",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792069",
            "telephone_number": "732-721-5511",
            "fax_number": "732-721-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMASZ GROCHOWALSKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROCHOWALSKI",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-721-5511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA065561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2590012",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4986761",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3000218",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3214640",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.