Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT
Physician Assistant in Manahawkin, New Jersey
1477781557- Practice location
- 1140 Route 72 W, Manahawkin, NJ 08050-2412
- Phone
- 609-978-8900
- Fax
- —
- Last updated
- August 4, 2011
Reid Edward Gronostajski is a Physician Assistant based in Manahawkin, NJ. Reid Edward Gronostajski practices in Manahawkin, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Reid Edward Gronostajski is 1477781557 and holds a License No. MA054369 (PA). The current practice location address for Reid Edward Gronostajski is 1140 Route 72 W, Manahawkin, NJ 08050-2412 and can be reached out via phone at 609-978-8900.
Provider Profile Details
- NPI Number
- 1477781557
- Provider Name
- Reid Edward Gronostajski
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1140 Route 72 W, Manahawkin, NJ 08050-2412
- Phone Number
- 609-978-8900
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2009
- Last Update Date
- August 4, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1140 Route 72 W
Manahawkin, NJ 08050-2412 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2412
- Phone Number
- 609-978-8900
Provider Business Mailing Address Details
- Address
- 3219 Scrimshaw CT
Toms River, NJ 08753-6258 - City
- Toms River
- State
- NJ
- Zip
- 08753-6258
- Phone Number
- 609-977-5466
License Information
- License Number (1)
- MA054369
- License State (1)
- PA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00218400
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT?
The NPI number of Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT is 1477781557. It was assigned on June 26, 2009 and is currently active in the NPPES registry.
What is the specialty of Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT?
Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA054369.
Where does Mr. Reid E Gronostajski, PHYSICIAN ASSISTANT practice?
The practice location is 1140 Route 72 W, Manahawkin, NJ 08050-2412. The office can be reached at 609-978-8900 (phone).
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 1477781557 directly on the NPPES registry website.