Michelle Grzelczak, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00865500 Issued in NJ

Practice address

74 Brick Blvd
Brick, NJ 08723-7984

Phone

(732) 402-8566

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• The Plastic Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Red Bank, NJ
  • NPI 1386613834
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1942048616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-402-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZELCZAK",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00865500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grosiak, BCBA
• Carly R Gross, LSW
• Daniel Gross, DPT
• Growing Mindset Therapy LLC
• Rashelle Groysman, MD
• GSS - Brick Dental of New Jersey, LLC
• Natalie Guarino
• Kimberly Ann Guccione, CLC
• Allan G Guerra, NP
• Caryssa Rose Guerra

• Surgical Physician Assistant in Brick, NJ
• Providers in Brick, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.

Verify at the official NPI Registry.