TIMOTHY D. GROTH MD PC
NPI 1720022015
Clinic/Center - Multi-Specialty in Smithtown, NY

NPI Status: Active since June 16, 2006

Contact Information

994 W JERICHO TPKE
SUITE104
SMITHTOWN, NY
ZIP 11787
Phone: (631) 543-1440
Fax: (631) 543-1930

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty

About TIMOTHY D. GROTH MD PC

This page provides the complete NPI Profile along with additional information for Timothy D. Groth Md Pc, a provider established in Smithtown, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1720022015 assigned on June 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Timothy D. Groth Md Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Timothy D Groth M.d. (Physician)

NPI: 1720022015
Provider Name: TIMOTHY D. GROTH MD PC
Entity Type: Organization
Location Address: 994 W JERICHO TPKE SUITE104 SMITHTOWN, NY 11787
Location Phone: (631) 543-1440
Location Fax: (631) 543-1930
Mailing Address: 994 W JERICHO TPKE SUITE104 SMITHTOWN, NY 11787
Mailing Phone: (631) 543-1440
Mailing Fax: (631) 543-1930
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-16-2006
Last Update Date: 11-09-2020
Code Navigator

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: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207LP2900X	Allopathic & Osteopathic Physicians	Anesthesiology Pain Medicine
2	208VP0000X	Allopathic & Osteopathic Physicians	Pain Medicine Pain Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: TIMOTHY D GROTH M.D.
Authorized Official Title: PHYSICIAN
Authorized Official Phone: (631) 543-1440

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
01491318	MEDICAID (05)	NY

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	7	2	0	0	2	2	0	1	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	4	0	0	2	4	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 2 + 4 + 0 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5									5

The NPI number 1720022015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 18 providers are registered at the same or nearby location.

DR. ANTHONY LEI-ON WONG M.D.

Dermatology

(MOHS-Micrographic Surgery)

994 W JERICHO TPKE
SUITE 103
SMITHTOWN, NY
ZIP 11787

About TIMOTHY D. GROTH MD PC

Location Map

Specialty - Primary Taxonomy

Clinic/Center Multi-Specialty

Secondary Taxonomies

Anesthesiology Pain Medicine

Pain Medicine Pain Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

TIMOTHY D GROTH M.D.

Additional Identifiers

Reviews for TIMOTHY D. GROTH MD PC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is TIMOTHY D. GROTH MD PC's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does TIMOTHY D. GROTH MD PC accept?

Anesthesiology
Pain Medicine

Pain Medicine
Pain Medicine