Individual provider Active NPI

Rudolph Edward Gronsky, DO

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1841249059
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB50210 Issued in NJ
Practice address
2125 Route 88 E
Brick, NJ 08724-3273
Phone
(732) 892-4640
Fax
(732) 892-0916
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 MB50210 NJ Primary

Addresses

Primary practice location

2125 Route 88 E
Brick, NJ 08724-3273

Mailing address

2125 Route 88 E
Brick, NJ 08724-3273

Other identifiers 1

IdentifierTypeStateIssuer
1877402MedicaidNJ

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
I20051010000628 NJ Practitioner - Internal Medicine 9537184486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB50210NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Urgent Care, PC CurrentSince Jul 1, 2019 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Jan 1, 2016 Accepting new patients
Ocean County Family Care, P.a. Internal Medicine CurrentSince Feb 27, 2010 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2040 State Route 33
Neptune City, NJ 07753
Phone (732) 455-5800

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1841249059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4640",
            "fax_number": "732-892-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKY",
        "first_name": "RUDOLPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB50210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1877402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.