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MARY ELIZABETH GROTH A.P.R.N., P.M.H.S.
NPI 1508849076
Nurse Practitioner - Pediatrics in Old Lyme, CT

Active since November 29, 2005
59 LYME STREET, OLD LYME, CT 06371(860) 373-6208(860) 434-1580 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Elizabeth Groth A.p.r.n., P.m.h.s. NPPES

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

MARY ELIZABETH GROTH A.P.R.N., P.M.H.S. (NPI 1508849076) is an individual pediatrics provider in Old Lyme, Connecticut, licensed in Connecticut (001632) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1508849076
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ELIZABETH GROTHCredential: A.P.R.N., P.M.H.S.
Location Address59 LYME STREETOld Lyme, CT 06371
Mailing AddressP.o. Box 589, 59 Lyme StreetOld Lyme, CT 06371 · (860) 373-6208 · Fax (860) 434-1580
Phone(860) 373-6208
Fax(860) 434-1580
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateDecember 12, 2017
✔ NPI 1508849076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 001632
59 LYME STREET, Old Lyme, CT 06371
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Other Identifiers 1

Medicaid004200391CT

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 Mary Groth's NPI number?

The NPI number for Mary Groth is 1508849076. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Mary Groth located?

Mary Groth practices at 59 Lyme Street, Old Lyme, CT 06371. The listed phone number is (860) 373-6208.

What is Mary Groth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Groth was last updated on December 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.