NPIMap

Individual provider Active NPI

Ronald Lee Gross, M.D.

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1043328289
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
196995 Issued in NY
Practice address
3765 Riverdale Ave
Suite 5
Bronx, NY 10463-1845
Phone
(718) 601-2700
Fax
(718) 601-6102
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 196995 NY Primary

Addresses

Primary practice location

3765 Riverdale Ave
Suite 5
Bronx, NY 10463-1845

Mailing address

3765 Riverdale Ave
Suite 5
Bronx, NY 10463-1845
Phone (718) 601-2700

Other identifiers 5

IdentifierTypeStateIssuer
05926HOtherNYGHI MEDICARE
110223109OtherNYRAILROAD MEDICARE
8C858OtherNYEMPIRE BLUE CROSS BLUE SH
01634197MedicaidNY
1043328289OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000658 NY Practitioner - General Practice 9739160912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RLD Medical Services PCGroup PAC ID 0749179141, 5 clinicians

Practice addresses (Care Compare)

170 Lake St
Liberty, NY 12754-1966
Phone (914) 639-2067

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • East Haven Nursing & Rehabilitation Center Nursing home, Bronx, NY, CCN 335723
  • Morris Park Rehabilitation and Nursing Center Nursing home, Bronx, NY, CCN 335347
  • The Grand Rehabilitation and Nursing at Barnwell Nursing home, Valatie, NY, CCN 335565
  • Briarcliff Manor Center For Rehab And Nursing Care Nursing home, Briarcliff Manor, NY, CCN 335005
  • Achieve Rehab And Nursing Facility Nursing home, Liberty, NY, CCN 335449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
004634NYMDNutritionist
196995NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RLD Medical Services, PC CurrentSince Aug 1, 2020 Accepting new patients
Wmop LLC Past Accepting new patients
Grand Great Neck LLC Past Accepting new patients
East Haven Nursing and Rehabilitation Center Past Accepting new patients
Sapphire HC, LLC Past Accepting new patients
Saint Joachim & Anne Nursing and Rehabilitation Center Past Accepting new patients
Forest Hills Dermatology Group PLLC PastSince Sep 1, 2012 Accepting new patients
Morris Park Rehabilitation and Nursing Center LLC Past Accepting new patients
Barnwell Operations Associates LLC Past Accepting new patients

Locations

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

3765 Riverdale Ave
Ste 5
Bronx, NY 10463
Phone (718) 543-3181

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morris Park Rehabilitation and Nursing CenterBronx, NY, CCN 335347 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 12, 2021
Jul 12, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1043328289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-601-2700",
            "fax_number": "718-601-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-601-2700",
            "fax_number": "718-601-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "196995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "05926H",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110223109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "8C858",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01634197",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043328289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.