Provider Demographics
NPI:1285992214
Name:GROISBERG, SHAINA JILL (MD)
Entity type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:JILL
Last Name:GROISBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:185 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3011
Mailing Address - Country:US
Mailing Address - Phone:862-240-4332
Mailing Address - Fax:739-297-1639
Practice Address - Street 1:185 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3011
Practice Address - Country:US
Practice Address - Phone:862-240-4332
Practice Address - Fax:203-688-5599
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program