MR. GARY RICHARD GROMACK MED CCC A
NPI 1558556753
Audiologist in Wayne, NJ
About Mr. Gary Richard Gromack Med Ccc A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY RICHARD GROMACK MED CCC A (NPI 1558556753) is an individual audiologist in Wayne, New Jersey, licensed in New Jersey (41YA000076) and active in the NPI registry since September 2007. He maintains a secondary practice location in Glen Rock.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gary Richard Gromack Med Ccc A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gary Gromack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAYNE, NJ 07470
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 Gary Gromack's NPI number?
The NPI number for Gary Gromack is 1558556753. It was assigned to this individual provider in the NPPES registry on September 11, 2007.
Where is Gary Gromack located?
Gary Gromack practices at 601 Hamburg Tpke Ste 104, Wayne, NJ 07470. The listed phone number is (862) 257-1370.
What is Gary Gromack's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Gary Gromack enrolled in Medicare?
Yes. Gary Gromack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gary Gromack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Gromack reassigns Medicare benefits to Audiology Services Company Usa, LLC (Wayne, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Gromack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gary Gromack was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Gary Richard Gromack, MED CCC A · NPI 1558556753
Audiologist provider in Wayne, New Jersey. Individual provider, active in the CMS NPPES registry since September 11, 2007.
## Identity
- **NPI:** 1558556753 (Entity type: Individual)
- **Enumerated:** September 11, 2007
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 41YA000076 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 HAMBURG TPKE STE 104, Wayne, NJ 07470
- **Phone:** (862) 257-1370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Audiology Services Company Usa, LLC (NPI 1740792068, Wayne, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1558556753) · Data from the CMS NPPES public registry.