ANN MARIE GROGAN N.P.
Complete NPI Record 1275813404
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Ann Marie Grogan, N.P. (NPI 1275813404), an individual nurse practitioner provider in Brooklyn, NY. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1275813404 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: GROGAN Field 3/32
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: ANN Field 4/32
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: MARIE Field 5/32
- The middle name of the provider, if the provider is an individual.
- Provider Credential Text: N.P. Field 6/32
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 60 MADISON AVE FL 5 Field 7/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: NEW YORK Field 8/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NY Field 9/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 100101600 Field 10/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2125452400 Field 12/32
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 999 BLAKE AVE Field 13/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: BROOKLYN Field 14/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NY Field 15/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 112083535 Field 16/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7182778303 Field 18/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7182774795 Field 19/32
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 22/32
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 163W00000X Field 23/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 573440 Field 24/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: NY Field 25/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 26/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 363LP0808X Field 27/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 401413 Field 28/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: NY Field 29/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 30/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 31/32
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1880 Bathgate Ave
Location 1/13Bronx, NY 10457-6259 · Phone (718) 294-5891 · Fax (718) 294-2468
504 W 158th St Fl 5
Location 2/13New York, NY 10032-7202 · Phone (917) 521-3130
2581 Atlantic Ave
Location 3/13Brooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840
1167 Nostrand Ave
Location 4/13Brooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169
200 Varick St, Project Renewal
Location 5/13New York, NY 10014-4810 · Phone (646) 489-2430
94-98 Manhattan Avenue
Location 6/13Brooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741
255 E Houston St
Location 7/13New York, NY 10002-1013 · Phone (212) 477-1120 · Fax (212) 477-8957
511 W 157TH ST
Location 8/13New York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963
81 W 115th St
Location 9/13New York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367
350 Grand St Rm 240
Location 10/13New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556
1002 Westchester Avenue
Location 11/13Bronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829
36-11 21st St
Location 12/13Long Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648
89-44 164th St
Location 13/13Jamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833
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