Individual ProviderGrace GrohPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1945 State Route 33, Neptune, NJ 07753-4859(732) 775-5500PECOS EnrollmentBased on the most recent information from CMS, provider Grace Groh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1346934171Provider TypeIndividualFull NameGroh, GraceCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date6/5/2023Last Updated6/6/2023Contact InformationPractice LocationPractice Address1945 State Route 33, Neptune, NJ 07753-4859Phone(732) 775-5500FaxUnlisted FaxMailing LocationMailing Address1945 State Route 33, Neptune, NJ 07753-4859Phone(732) 775-5500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00786200New Jersey