Active NPI
Robert C McGrath, DO
- Family Medicine Physician
- Haddon Township, NJ
National Provider Identifier
1912110636
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0004578L
- Practice address
- 654 W Cuthbert Blvd
Haddon Township, NJ 08108-3642 - Phone
- (856) 528-9838
- Fax
- (856) 854-9192
- NPI assigned
- May 8, 2007
- Last updated
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0004578L | PA | Primary |
Addresses
Primary practice location
654 W Cuthbert Blvd
Haddon Township, NJ 08108-3642
Mailing address
39 Unity SQ
Greensburg, PA 15601-9577
Phone (724) 837-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0004578L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Immedicare LLC | Family Medicine | Past | Accepting new patients |
| Atlantic General Hospital Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Atlantic General Health System
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1912110636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 UNITY SQ",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156019577",
"telephone_number": "724-837-3210",
"fax_number": "814-443-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 W CUTHBERT BLVD",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081083642",
"telephone_number": "856-528-9838",
"fax_number": "856-854-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS0004578L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haddon Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.