Physician Compare National (NPI:1659332864)

HEALTHCARE PROVIDER: CHARLES A GROPPER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659332864
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678669116
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071015000522
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GROPPER
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	134 GREENPOINT AVE
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112226577
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7183496160
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330399
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BARNABAS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y