Individual provider Active NPI

Paul Gross, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1073698106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
186107 Issued in NY
Practice address
MMG - Family Health Center
360 East 193Rd Street
Bronx, NY 10458
Phone
(718) 933-2400
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Family Medicine Physician 207Q00000X 186107 NY Primary

Addresses

Primary practice location

MMG - Family Health Center
360 East 193Rd Street
Bronx, NY 10458

Mailing address

28 Albert PL
New Rochelle, NY 10801-2304
Phone (718) 933-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000454 NY Practitioner - Family Practice 4183651243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2005 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2005 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

1 Fordham Plz
Fl 5
Bronx, NY 10458
Phone (718) 741-9505

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

111 E 210th St
Bronx, NY 10467

360 E 193rd St
Bronx, NY 10458
Phone (718) 405-4067

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073698106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ALBERT PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012304",
            "telephone_number": "718-933-2400",
            "fax_number": "718-367-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMG - FAMILY HEALTH CENTER",
            "address_2": "360 EAST 193RD STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-933-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "186107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.