Fred Grossman, DO

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

OS006278L Issued in PA

Practice address

64 N Main St
New Hope, PA 18938-1342

Phone

(215) 862-3321

NPI assigned

Aug 15, 2008

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1023264470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 N MAIN ST",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381342",
            "telephone_number": "215-862-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 N MAIN ST",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381342",
            "telephone_number": "215-862-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "OS006278L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Galvin, LAC, DAOM
• John Gannon, M.S. F.P.P.R.
• Megan Gimpel, M.A. CCC-SLP
• Christine Goh
• Jennifer Gormley
• Veronica S Haggerty, RN
• Harmony Group Behavioral Health LLC
• Aihua Ning Harris
• Humboldt Radiology Medical Group,Inc.
• Tatiana Jablokov

• Geriatric Psychiatry Physician in New Hope, PA
• Providers in New Hope, PA by specialty
• Geriatric Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.