Elliott George Gross, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

090482 Issued in NY

Practice address

3020 Westchester Ave
Ste 104
Purchase, NY 10577-2510

Phone

(914) 251-1010

Fax

(914) 251-0212

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preston Lurie, MD PC

  • Internal Medicine Physician
  • Rye Brook, NY
  • NPI 1982875647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1023014370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE",
            "address_2": "STE 104",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772510",
            "telephone_number": "914-251-1010",
            "fax_number": "914-251-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE",
            "address_2": "STE 104",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772510",
            "telephone_number": "914-251-1010",
            "fax_number": "914-251-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ELLIOTT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "090482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gennifer Joy Greebel, M.D.
• Alexis Dyana Greene, M.D.
• Greenwich Occupational Health Services P.C.
• Herbert Gretz III, M.D.
• Barbara Gross, LMSW
• Alexis Grosso
• Rand Gruen, PH.D.
• Danielle Gutierrez
• Iris Haddock, MS
• Lauren Bycoff Haimes

• Neurology Physician in Purchase, NY
• Providers in Purchase, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.