Timothy D. Groth MD PC
Timothy D. Groth MD PC is a healthcare organization registered as Multi-Specialty Clinic/Center in Smithtown, NY, holding Type 2 (organization) NPI 1720022015 since 2006. The authorized official on file is Timothy Groth, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720022015 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Timothy D. Groth MD PC |
| Practice address | 994 W JERICHO TPKE, SUITE104, Smithtown, NY, 11787 |
| Phone | 6315431440 |
| Fax | 6315431930 |
| Enumeration date | 2006-06-16 |
| Last updated in NPPES | 2020-11-09 |
Authorized official
| Name | Timothy Groth |
|---|---|
| Title | Physician |
| Phone | 6315431440 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Secondary | — | — |
| 208VP0000X | Pain Medicine Physician | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01491318 | Medicaid | NY | — |
Copy-ready billing details
Provider: Timothy D. Groth MD PC NPI: 1720022015 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 994 W JERICHO TPKE, SUITE104, Smithtown, NY, 11787
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689677197 | Long Island Skin Cancer and Dermatologic Surgery, PC | Organization | Specialist | Smithtown, NY |
| 1821057977 | Anthony Wong | Individual | MOHS-Micrographic Surgery Physician | Smithtown, NY |
| 1679532907 | Daniel Siegel | Individual | MOHS-Micrographic Surgery Physician | Smithtown, NY |
| 1093742272 | Timothy Groth | Individual | Pain Medicine (Anesthesiology) Physician | Smithtown, NY |
| 1770666117 | Brenda Janotha | Individual | Adult Health Nurse Practitioner | Smithtown, NY |
| 1093887424 | Thomas Yarrobino, Pt, PC | Organization | Physical Medicine & Rehabilitation Physician | Smithtown, NY |
| 1013071323 | Karin Burkhard | Individual | Psychiatry Physician | Smithtown, NY |
| 1508077058 | Jennifer Fidelo | Individual | Physician Assistant | Smithtown, NY |
Verify this record
Cross-check NPI 1720022015 against the authoritative CMS record: view Timothy D. Groth MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Timothy D. Groth MD PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-09.