Physician Compare National (NPI:1861669137)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1861669137
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173695210
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080707000006
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRIGGS
	Individual professional last name
Provider First Name	ABEER
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	444 NEPTUNE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 13
	Group Practice or individual's line 2 address
City	NEPTUNE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077534144
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JERSEY SHORE UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPE REGIONAL MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310052
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OCEAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y