Judith F. Grem, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD020070E Issued in PA

Practice address

Route 422, Sportsman Road
Building 37
Wernersville, PA 19565-0300

Phone

(610) 678-3411

NPI assigned

Jun 23, 2006

Last updated

May 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Judith Fonken Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pennsylvania Department of Human Services

  dba Wernersville State Hospital

  • Psychiatric Hospital
  • Wernersville, PA
  • NPI 1497739973
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1780610535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEACE LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128432",
            "telephone_number": "717-599-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 422, SPORTSMAN ROAD",
            "address_2": "BUILDING 37",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195650300",
            "telephone_number": "610-678-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREM",
        "first_name": "JUDITH",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD020070E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "FONKEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Garbely, DO
• Rebecca Garritillo, PMHNP
• David Gilmore
• Usha Gopalani, M.D.
• Christine Graber, MSCCC-SLP
• Mindy Cardina Grenade
• Elizabeth Marjorie Hansen, DC
• Kimberly Harker, LPC
• Teresa Heck, D.C.
• Jamie L Hogan, MA, LPC, NCC, C-DBT

• Family Medicine Physician in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.