TIMOTHY D. GROTH MD PC
NPI 1720022015
Clinic/Center - Multi-Specialty in Smithtown, NY

NPI Status: Active since June 16, 2006

Contact Information

994 W JERICHO TPKE
SUITE104
SMITHTOWN, NY
ZIP 11787
Phone: (631) 543-1440
Fax: (631) 543-1930

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About TIMOTHY D. GROTH MD PC

This page provides the complete NPI Profile along with additional information for Timothy D. Groth Md Pc, a provider established in Smithtown, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1720022015 assigned on June 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Timothy D. Groth Md Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Timothy D Groth M.d. (Physician)

NPI
1720022015
Provider Name
TIMOTHY D. GROTH MD PC
Entity Type
Organization
Location Address
994 W JERICHO TPKE SUITE104 SMITHTOWN, NY 11787
Location Phone
(631) 543-1440
Location Fax
(631) 543-1930
Mailing Address
994 W JERICHO TPKE SUITE104 SMITHTOWN, NY 11787
Mailing Phone
(631) 543-1440
Mailing Fax
(631) 543-1930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2006
Last Update Date
11-09-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
2208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY D GROTH M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(631) 543-1440

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01491318MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720022015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274002402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 2 + 4 + 0 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1720022015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821057977DR. ANTHONY LEI-ON WONG M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)994 W JERICHO TPKE SUITE 103
SMITHTOWN, NY 11787
(631) 864-6647
1679532907DR. DANIEL MARK SIEGEL M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)994 W JERICHO TPKE SUITE 103
SMITHTOWN, NY 11787
(631) 864-6647
1770666117 BRENDA LYNN JANOTHA
Individual
Nurse Practitioner (Adult Health)994 W JERICHO TPKE SUITE 201
SMITHTOWN, NY 11787
(631) 864-4499
1013071323 KARIN EVA BURKHARD MD
Individual
Psychiatry & Neurology (Psychiatry)994 W JERICHO TPKE SUITE 202
SMITHTOWN, NY 11787
(631) 864-9200
1508077058 JENNIFER FIDELO NP
Individual
Physician Assistant994 W JERICHO TPKE SUITE 202
SMITHTOWN, NY 11787
(631) 474-5800
1851595094LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC
Organization
Dermatology (Procedural Dermatology)994 W JERICHO TPKE SUITE 103
SMITHTOWN, NY 11787
(631) 864-6647
1235303157LLOYD D. LANDSMAN, M.D.P.C.
Organization
Plastic Surgery994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 864-4111
1245407519 MICHELE A MORGANSTERN PH.D.
Individual
Psychologist (Clinical)994 W JERICHO TPKE SUITE 202
SMITHTOWN, NY 11787
(631) 786-8129
1134457518 ALLISON WALLSHEIN
Individual
Registered Nurse (Psychiatric/Mental Health)994 W JERICHO TPKE SUITE 202
SMITHTOWN, NY 11787
(631) 470-5575
1013402932MRS. RACHEL ANNE DEMAIO FNP
Individual
Nurse Practitioner (Family)994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 265-4200
1689677197LONG ISLAND SKIN CANCER AND DERMATOLOGIC SURGERY, PC
Organization
Specialist994 W JERICHO TPKE STE 103
SMITHTOWN, NY 11787
(631) 864-6647
1093887424THOMAS YARROBINO, PT, PC
Organization
Physical Medicine & Rehabilitation994 W JERICHO TPKE SUITE 202A
SMITHTOWN, NY 11787
(631) 864-6008
1366873259DELTA SLEEP CENTER
Organization
Sleep Specialist, PhD994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 787-2386
1417668864 RANIA FAKHRO LMSW
Individual
Social Worker994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 624-3469
1710650817 SELENA MARIE LA FRANCA PA-C
Individual
Physician Assistant994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 543-1440
1538302179DR. GULLE NAYAB AWAN
Individual
Physical Medicine & Rehabilitation994 W JERICHO TPKE SUITE 104
SMITHTOWN, NY 11787
(631) 543-1440
1093742272 TIMOTHY D GROTH M.D.
Individual
Anesthesiology (Pain Medicine)994 W JERICHO TPKE SUITE 104
SMITHTOWN, NY 11787
(631) 543-1440
1952057184 BIBI FAZEENA NARAIN RN, MSN, FNP-BC
Individual
Nurse Practitioner994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 543-1440
1497344725DR. ERICK SORTO DC
Individual
Chiropractor994 W JERICHO TPKE
SMITHTOWN, NY 11787
(631) 543-1440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720022015, enumerated in the NPI registry as an "organization" on June 16, 2006

The provider is located at 994 W Jericho Tpke Suite104 Smithtown, Ny 11787 and the phone number is (631) 543-1440

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.