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Contact Information

TIMOTHY D GROTH, MD
994 W JERICHO TPKE
SUITE 104
SMITHTOWN, NY11787-3235
 Phone: 631-543-1440
 Fax: 631-543-1930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TIMOTHY D GROTH · (Male)

NPI Number 1093742272
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 06/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 158610
  • NY Medicaid 01491318
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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