Active NPIIndividual providerSole proprietor

Dr. Vadim Gritsus, MD

Specialist in Pequannock, New Jersey

NPI Number1336170182
Practice location
7 Industrial RD, Suite 203, Pequannock, NJ 07440-1922
Fax
973-696-9055
Last updated
September 15, 2008

Vadim Gritsus is a Specialist based in Pequannock, NJ. Vadim Gritsus practices in Pequannock, NJ and has the professional credentials of MD. The NPI Number for Vadim Gritsus is 1336170182 and holds a License No. 25MA07576600 (NJ). The current practice location address for Vadim Gritsus is 7 Industrial RD, Suite 203, Pequannock, NJ 07440-1922 and can be reached out via phone at 973-696-9050 and via fax at 973-696-9055.

Provider Profile Details

NPI Number
1336170182
Provider Name
Vadim Gritsus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7 Industrial RD, Suite 203, Pequannock, NJ 07440-1922
Phone Number
973-696-9050
Fax Number
973-696-9055
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 6, 2006
Last Update Date
September 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Industrial RD
Suite 203
Pequannock, NJ 07440-1922
Zip
07440-1922
Phone Number
973-696-9050
Fax Number
973-696-9055
Pequannock, NJ 07440Get directions →

Provider Business Mailing Address Details

Address
7 Industrial RD
Suite 203
Pequannock, NJ 07440-1922
City
Pequannock
State
NJ
Zip
07440-1922
Phone Number
973-696-9050
Fax Number
973-696-9055

License Information

License Number
25MA07576600
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vadim Gritsus, MD?

The NPI number of Dr. Vadim Gritsus, MD is 1336170182. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Vadim Gritsus, MD?

Dr. Vadim Gritsus, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA07576600.

Where does Dr. Vadim Gritsus, MD practice?

The practice location is 7 Industrial RD, Suite 203, Pequannock, NJ 07440-1922. The office can be reached at 973-696-9050 (phone) or 973-696-9055 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336170182 directly on the NPPES registry website.

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