| Timothy D Groth, MD | |
|
994 W Jericho Tpke, Suite 104, Smithtown, NY 11787-3235 | |
| (631) 543-1440 | |
| (631) 543-1930 |
| Full Name | Timothy D Groth |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 43 Years |
| Location | 994 W Jericho Tpke, Smithtown, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093742272 | NPI | - | NPPES |
| 01491318 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 158610 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Timothy D. Groth Md Pc | 8921002320 | 35 |
| Entity Name | Timothy D. Groth Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720022015 PECOS PAC ID: 8921002320 Enrollment ID: O20060825000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy D Groth, MD 994 W Jericho Tpke, Suite 104, Smithtown, NY 11787-3235 Ph: (631) 543-1440 | Timothy D Groth, MD 994 W Jericho Tpke, Suite 104, Smithtown, NY 11787-3235 Ph: (631) 543-1440 |
Dr. Vineet Gambhir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a, Suite 101, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 | |
Dr. Doris Tamai, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a, Suite 101, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 | |
Dr. Salvatore Daniel Buffa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 Route 25a, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 | |
Dr. Jeany Pierre-louis, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 48 Route 25a, Suite 101, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 | |
Dr. Anthony Bonanno, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 Route 25a, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 | |
Dr. Steven Cohen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a, Suite 101, Smithtown, NY 11787 Phone: 631-862-3413 Fax: 631-862-3604 |