Individual provider Active NPI

Joyce Yudith Gross, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1073672887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D23985 Issued in MD
Practice address
2103 Woodbox LN
Unit C
Baltimore, MD 21209-1657
Phone
(410) 484-5508
Fax
(410) 484-6475
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D23985 MD Primary

Addresses

Primary practice location

2103 Woodbox LN
Unit C
Baltimore, MD 21209-1657

Mailing address

2103 Woodbox LN
Unit C
Baltimore, MD 21209-1657
Phone (410) 484-5508

Other identifiers 1

IdentifierTypeStateIssuer
03843JY11OtherMDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D23985MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073672887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 WOODBOX LN",
            "address_2": "UNIT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091657",
            "telephone_number": "410-484-5508",
            "fax_number": "410-484-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 WOODBOX LN",
            "address_2": "UNIT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091657",
            "telephone_number": "410-484-5508",
            "fax_number": "410-484-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JOYCE",
        "middle_name": "YUDITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D23985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03843JY11",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.