Active NPI
Gerald Alexander Groves Jr., MD
- Psychiatry Physician
- Washington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA46042
- Practice address
- 492 RT 57 West
Washington, NJ 07882 - Phone
- (908) 689-1000
- Fax
- (908) 689-4529
- NPI assigned
- Dec 14, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA46042 | NJ | Primary |
Addresses
Primary practice location
492 RT 57 West
Washington, NJ 07882
Mailing address
341 Cherry Hill Rd
Princeton, NJ 08540
Phone (609) 924-1486
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2320794000 | Other | NJ | AMERIHEALTH |
| P1134899 | Other | NJ | OXFORD |
| 0177806 | Medicaid | NJ | |
| 051310000 | Other | NJ | MAGELLAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46042 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| Comprehensive Treatment Services Inc. | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients |
Locations
305 Roseberry St
Ste 8
Phillipsburg, NJ 08865
Phone (908) 454-7244
1100 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-3630
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1568347201
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942285887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 CHERRY HILL RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-924-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 RT 57 WEST",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "07882",
"telephone_number": "908-689-1000",
"fax_number": "908-689-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "GERALD",
"middle_name": "ALEXANDER",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA46042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2320794000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1134899",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177806",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "051310000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.