Active NPI
Rudolph Edward Gronsky, DO
- Internal Medicine Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MB50210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1877402 | Medicaid | NJ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MB50210 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Excel Urgent Care of NJ LLC | Current | Accepting new patients | |
| Ocean County Family Care, P.a. | Internal Medicine | Current | 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.
-
- Urgent Care Clinic/Center
- Freehold, NJ
- NPI 1285165209
-
- Urgent Care Clinic/Center
- Old Bridge, NJ
- NPI 1255742243
-
- Internal Medicine Physician
- Jackson, NJ
- NPI 1821019787
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.