DR. JEREMY GRUSHKA M.D.
NPI 1063767358
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since July 23, 2012
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeremy Grushka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY GRUSHKA M.D. (NPI 1063767358) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (17059) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1063767358
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEREMY GRUSHKACredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address2655 Collins Ave Apt 2404Miami Beach, FL 33140-4766 · (786) 566-7734
Sole ProprietorNo
Enumeration DateJuly 23, 2012
NPI 1063767358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · 17059
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE, Miami, FL 33136

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine (Nephrology)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Internal Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Grushka's NPI number?

The NPI number for Jeremy Grushka is 1063767358. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Jeremy Grushka located?

Jeremy Grushka practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Jeremy Grushka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Grushka was last updated on July 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.