Active NPI
Jason A Grotas, MD
- Urology Physician
- Lawrence, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- NY235437
- Practice address
- 290 Central Ave Ste 207
Lawrence, NY 11559-8507 - Phone
- (516) 239-8585
- Fax
- (516) 239-8529
- NPI assigned
- Sep 1, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | NY235437 | NY | Primary |
Addresses
Primary practice location
290 Central Ave Ste 207
Lawrence, NY 11559-8507
Mailing address
290 Central Ave Ste 207
Lawrence, NY 11559-8507
Phone (516) 239-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026631 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Urology
- Education
- Rowan University School of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000
290 Central Ave
Lawrence, NY 11559-8507
Phone (516) 239-8585
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (516) 239-8585
Hospital & facility affiliations
- St John'S Episcopal Hospital at South Shore
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 18 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY235437 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urologic Surgical Care LLC | Current | Accepting new patients | |
| Urologic Surgical Care PLLC | Urology | Current | Accepting new patients |
| South Ocean Care LLC | Past | Accepting new patients |
Locations
3079 Brighton 13th St
Brooklyn, NY 11235
Phone (718) 554-3862
290 Central Ave
Ste 207
Lawrence, NY 11559
Phone (516) 239-8585
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Urology Physician
- Lawrence, NY
- NPI 1366612434
-
- Non-Pharmacy Dispensing Site
- Lawrence, NY
- NPI 1245076124
-
- Clinic/Center
- Freeport, NY
- NPI 1205811049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1922092295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 CENTRAL AVE STE 207",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115598507",
"telephone_number": "516-239-8585",
"fax_number": "516-239-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CENTRAL AVE STE 207",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115598507",
"telephone_number": "516-239-8585",
"fax_number": "516-239-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTAS",
"first_name": "JASON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "NY235437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026631",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.