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CANDICE GROGAN
NPI 1417622192
Specialist in Ronkonkoma, NY

Active since August 13, 2021
90 AIR PARK DR, RONKONKOMA, NY 11779(631) 580-4001 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candice Grogan NPPES

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

CANDICE GROGAN (NPI 1417622192) is an individual specialist in Ronkonkoma, New York, licensed in New York (1400608) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1417622192
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCANDICE GROGAN
Location Address90 AIR PARK DRRonkonkoma, NY 11779-7360
Mailing Address90 Air Park DrRonkonkoma, NY 11779-7360
Phone(631) 580-4001
Sole ProprietorYes
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1417622192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1400608
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
90 AIR PARK DR, Ronkonkoma, NY 11779
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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.

ANTHONY VULTAGGIO
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4020
MISS ANGELA ANN BUSCEMI OTR/L
Occupational Therapist (Pediatrics)
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 471-1937
MRS. MEAGAN BAKER B.A
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 471-1954
JACQUALINE A BARTH
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4071
RACHEL RINGER
Local Education Agency (LEA)
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4000
KRISTINA MEADOWS
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4001
MS. MERYL ANN TEITELBAUM MA,CCC,LSP,SAS
Speech-Language Pathologist
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4003
DR. JENNIFER TORCHETTI PH.D.
Psychologist (Clinical)
90 AIR PARK DR
RONKONKOMA, NY 11779
Suffolk County (631) 580-4047

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 Candice Grogan's NPI number?

The NPI number for Candice Grogan is 1417622192. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Candice Grogan located?

Candice Grogan practices at 90 Air Park Dr, Ronkonkoma, NY 11779. The listed phone number is (631) 580-4001.

What is Candice Grogan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Candice Grogan was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.