Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Reid Edward Gronostajski, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1477781557

Mr. Reid Edward Gronostajski, PHYSICIANASSISTANT is a Medical Physician Assistant in Manahawkin, New Jersey. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2009.

Licensed in
NJ, PA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone: (609) 978-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00218400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA054369 (PA)

Record details

NPI number1477781557
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESAugust 4, 2011

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