Provider Demographics
NPI:1427121631
Name:GROBSTEIN, NAOMI (MD)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:GROBSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 NORTHVIEW TER
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1537
Mailing Address - Country:US
Mailing Address - Phone:973-271-9221
Mailing Address - Fax:
Practice Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03933400207Q00000X
NC2021-00105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222475272OtherPHCS
NJ4412567OtherAETNA TRADITIONAL
NJ411539OtherCIGNA
NJ002942OtherAETNA HMO
NJEP117OtherOXFORD
NJ1K7163OtherHEALTHNET
NJ516073OtherUNITED
NJ222475272OtherHORIZON
NJ222475272OtherHORIZON
NJC56644Medicare UPIN