Active NPI
Rachel Sharon Gross, M.D., M.S.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1073799847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 244772
- Practice address
- 3444 Kossuth Ave
Family Care Center, Pediatric Practice C
Bronx, NY 10467-2410 - Phone
- (718) 920-2655
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 244772 | NY | Primary |
Addresses
Primary practice location
3444 Kossuth Ave
Family Care Center, Pediatric Practice C
Bronx, NY 10467-2410
Mailing address
130 E 94TH St
Apt 3E
New York, NY 10128-1757
Phone (212) 717-7763
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180117002928 | NY | Order and Referring Only - Pediatric Medicine | 3375694144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244772 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rgross676282@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1073799847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E 94TH ST",
"address_2": "APT 3E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281757",
"telephone_number": "212-717-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KOSSUTH AVE",
"address_2": "FAMILY CARE CENTER, PEDIATRIC PRACTICE C",
"city": "BRONX",
"state": "NY",
"postal_code": "104672410",
"telephone_number": "718-920-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "RACHEL",
"middle_name": "SHARON",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "244772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.