JACEK GRZYBOWSKI MD
NPI 1225038508
Pediatrics in Linden, NJ

Active since July 28, 2005CLIA 31D2176040 · Waiver
812 N WOOD AVE, SUITE 201, LINDEN, NJ 07036(908) 587-9611(908) 587-9622 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacek Grzybowski Md NPPES

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

JACEK GRZYBOWSKI MD (NPI 1225038508) is an individual pediatrics provider in Linden, New Jersey, licensed in New Jersey (25MA07813200) and active in the NPI registry since July 2005. He holds a CLIA Waiver certificate valid through December 5, 2027.

NPPES Registry Identity

NPI1225038508
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACEK GRZYBOWSKICredential: MD
Location Address812 N WOOD AVE, SUITE 201Linden, NJ 07036-4058
Mailing Address812 N Wood Ave, Suite 201Linden, NJ 07036-4058 · (908) 587-9611 · Fax (908) 587-9622
Fax(908) 587-9622
Sole ProprietorYes
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 16, 2007
NPI 1225038508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NJ · 25MA07813200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
812 N WOOD AVE, Linden, NJ 07036

Other Identifiers 2

Medicare UPINI27591
Medicaid0059862NJ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2176040

Jacek Grzybowski, MD, LLC · Linden, NJ
Active · expires Dec 5, 2027
CLIA Number31D2176040
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorJacek Grzybowski
Laboratory Phone(908) 587-9611
Laboratory LocationJacek Grzybowski, MD, LLC812 N Wood Avenue, Suite 204, Linden, NJ 07036
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Specialist
812 N WOOD AVE, SUITE 201
LINDEN, NJ 07036
Pediatrics
812 N WOOD AVE, SUITE 201
LINDEN, NJ 07036
Obstetrics & Gynecology
812 N WOOD AVE, SUITE 201
LINDEN, NJ 07036
Psychiatry & Neurology (Psychiatry)
812 N WOOD AVE, SUITE 102
LINDEN, NJ 07036

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 Jacek Grzybowski's NPI number?

The NPI number for Jacek Grzybowski is 1225038508. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jacek Grzybowski located?

Jacek Grzybowski practices at 812 N Wood Ave Suite 201, Linden, NJ 07036. The listed phone number is (908) 587-9611.

What is Jacek Grzybowski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Jacek Grzybowski hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2176040) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacek Grzybowski accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jacek Grzybowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacek Grzybowski was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.