DR. TOMASZ ADAM GRUCZYNSKI M.D.
NPI 1497707087
Pediatrics in Wayne, NJ
NPI Status: Active since May 16, 2006
Contact Information
508 HAMBURG TPKE
WAYNE, NJ
ZIP 07470
Phone: (973) 942-7800
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About TOMASZ GRUCZYNSKI
This page provides the complete NPI Profile along with additional information for Tomasz Gruczynski, a pediatrician established in Wayne, New Jersey with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1497707087 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number MA059789 (NJ). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1497707087
- Provider Name
- DR. TOMASZ ADAM GRUCZYNSKI M.D.
- Other Name
- DR. THOMAS ADAM GRUCZYNSKI M.D.
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 508 HAMBURG TPKE WAYNE, NJ 07470
- Location Phone
- (973) 942-7800
- Mailing Address
- 508 HAMBURG TPKE STE 106 WAYNE, NJ 07470
- Mailing Phone
- (973) 942-7800
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2006
- Last Update Date
- 11-19-2008
- Code Navigator
A pediatrician like Tomasz Gruczynski is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA059789
- License State
- NJ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9044400 | MEDICAID (05) | NJ |
Medicare Participation & PECOS Enrollment Status
Tomasz Gruczynski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07470 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. TOMASZ ADAM GRUCZYNSKI M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 0 | 7 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 0 | 14 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 0 + 1 + 4 + 0 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1497707087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
DR. EMMANUEL AYTURK AYDIN M.D.
Internal Medicine
508 HAMBURG TPKE
SUITE 102
WAYNE, NJ
ZIP 07470
DR. ERHAN KUCUK M.D.
Internal Medicine
508 HAMBURG TPKE
SUITE 102
WAYNE, NJ
ZIP 07470
DR. ELSAID BALBOUL MD
Internal Medicine
508 HAMBURG TPKE
SUITE 201
WAYNE, NJ
ZIP 07470
DR. REYAD MOHSEN MD
Internal Medicine
(Hematology & Oncology)
508 HAMBURG TPKE
SUITE 202
WAYNE, NJ
ZIP 07470
DR. OLGA ORLOV M.D.
Pediatrics
(Adolescent Medicine)
508 HAMBURG TPKE
SUITE 107
WAYNE, NJ
ZIP 07470
ELSAID BALBOUL MD PA
Internal Medicine
508 HAMBURG TPKE
STE 201
WAYNE, NJ
ZIP 07470
HORIZON HEMATOLOGY/ONCOLOGY CORP
Internal Medicine
(Hematology & Oncology)
508 HAMBURG TPKE
SUITE 202
WAYNE, NJ
ZIP 07470
BENIWAL MD LLC
Legal Medicine
508 HAMBURG TPKE
SUITE 205
WAYNE, NJ
ZIP 07470
OLGA ORLOV, MD PA
Pediatrics
(Adolescent Medicine)
508 HAMBURG TPKE
SUITE 107
WAYNE, NJ
ZIP 07470
K.NEENA CHIMA, M.D., L.L.C.
Dermatology
508 HAMBURG TPKE
SUITE 101
WAYNE, NJ
ZIP 07470
DR. JAGBIR S BENIWAL MD
Surgery
(Vascular Surgery)
508 HAMBURG TPKE
SUITE 205 BENIWAL MD LLC
WAYNE, NJ
ZIP 07470
PULMONARY MEDICINE OF WAYNE PC
Internal Medicine
(Pulmonary Disease)
508 HAMBURG TPKE
SUITE 202
WAYNE, NJ
ZIP 07470
WAYNE PRIMARY CARE, P.A.
Internal Medicine
508 HAMBURG TPKE
SUITE102
WAYNE, NJ
ZIP 07470
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497707087, enumerated as an "individual" on May 16, 2006.
The provider is located at 508 HAMBURG TPKE WAYNE, NJ 07470 and the phone number is (973) 942-7800.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.
