Active NPI
Geralyn Ann Groh-Szuba, M.D.
- Pediatrics Physician
- Rockville Centre, NY
National Provider Identifier
1962645457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 229603
- Practice address
- 2000 N Village Ave Ste 409
Rockville Centre, NY 11570-1001 - Phone
- (516) 277-2060
- Fax
- (516) 277-2058
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 229603 | NY | Primary |
Addresses
Primary practice location
2000 N Village Ave Ste 409
Rockville Centre, NY 11570-1001
Mailing address
2000 N Village Ave Ste 409
Rockville Centre, NY 11570-1001
Phone (516) 277-2060
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229603 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1962645457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N VILLAGE AVE STE 409",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701001",
"telephone_number": "516-277-2060",
"fax_number": "516-277-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N VILLAGE AVE STE 409",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701001",
"telephone_number": "516-277-2060",
"fax_number": "516-277-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROH-SZUBA",
"first_name": "GERALYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "229603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.