Provider Demographics
NPI:1558576967
Name:JAMES MCGROARTY MDPC
Entity Type:Organization
Organization Name:JAMES MCGROARTY MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGROARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-596-6800
Mailing Address - Street 1:140 JORALEMON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4704
Mailing Address - Country:US
Mailing Address - Phone:718-596-6800
Mailing Address - Fax:718-243-1007
Practice Address - Street 1:142 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4709
Practice Address - Country:US
Practice Address - Phone:718-596-6800
Practice Address - Fax:718-243-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104034-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWX0231Medicare ID - Type Unspecified