Jennifer Grom, MD
Internal Medicine in New Haven, Connecticut
1780212118- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-737-1947
- Fax
- —
- Last updated
- March 31, 2025
Jennifer Grom is an Internal Medicine based in New Haven, CT. Jennifer Grom practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Jennifer Grom is 1780212118 and holds a License No. 1019112 (MA). The current practice location address for Jennifer Grom is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-737-1947.
Provider Profile Details
- NPI Number
- 1780212118
- Provider Name
- Jennifer Grom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-737-1947
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2020
- Last Update Date
- March 31, 2025
- Certification Date
- March 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-737-1947
Provider Business Mailing Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
License Information
- License Number (1)
- 1019112
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 80411
- License State (2)
- CT
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 1019112
- License State (3)
- MA
- Taxonomy (3)
- Pediatrics · 208000000X
- License Number (4)
- 80411
- License State (4)
- CT
- Taxonomy (4)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near New Haven, CT
View all Internal Medicine providers in New Haven →Frequently Asked Questions
What is the NPI number of Jennifer Grom, MD?
The NPI number of Jennifer Grom, MD is 1780212118. It was assigned on March 31, 2020 and is currently active in the NPPES registry.
What is the specialty of Jennifer Grom, MD?
Jennifer Grom, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 1019112.
Where does Jennifer Grom, MD practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-737-1947 (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 1780212118 directly on the NPPES registry website.