What is Candice Grogan's NPI number?

Candice Grogan's National Provider Identifier (NPI) is 1417622192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Candice Grogan's specialty?

Candice Grogan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Candice Grogan located?

Candice Grogan's practice location on file with NPPES is 90 Air Park Dr, Ronkonkoma, NY 11779-7360.

What is Candice Grogan's phone number?

The practice phone number listed in the NPPES registry for Candice Grogan is (631) 580-4001.

Is Candice Grogan's NPI active?

Yes — Candice Grogan's NPI (1417622192) is active in the NPPES registry as of the last update on 2021-08-13.

IndividualActive

Candice Grogan

NPI 1417622192 · Specialist · Ronkonkoma, NY

Candice Grogan is a Specialist provider in Ronkonkoma, NY (NPI 1417622192).

Provider details

NPI number: 1417622192
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 1400608 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 1400608 (NY)
Other Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

90 Air Park Dr

Ronkonkoma, NY 11779-7360

Phone: (631) 580-4001

Street-level locationGet directions

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Mailing address