Individual provider Active NPI

Lonnie Scott Gross, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1083795074
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006491 Issued in NY
Practice address
10526 Avenue N
Brooklyn, NY 11236-4614
Phone
(718) 444-9007
Fax
(718) 531-5322
NPI assigned
Oct 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006491 NY Primary

Addresses

Primary practice location

10526 Avenue N
Brooklyn, NY 11236-4614

Mailing address

10526 Avenue N
Brooklyn, NY 11236-4614
Phone (718) 444-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908000361 NJ Practitioner - Chiropractic 1456433382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grossman Chiropractic and Physical Therapy, LLCGroup PAC ID 2769588011, 4 clinicians

Practice addresses (Care Compare)

1001 Raritan Ave
Highland Park, NJ 08904-3667
Phone (732) 572-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006491NYMDChiropractor
006491NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Grossman Chiropractic & Physical Therapy, LLC Chiropractor CurrentSince Sep 23, 2020 Accepting new patients
Central Jersey Chiropractic, PC Chiropractor CurrentSince Jul 13, 2016 Accepting new patients

Locations

397 Ridge Rd
Ste 2
Dayton, NJ 08810
Phone (732) 329-8600

1001 Route 27
Highland Park, NJ 08904
Phone (732) 572-2225

436 State Route 79
Ste 21
Morganville, NJ 07751
Phone (432) 617-8000

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083795074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10526 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364614",
            "telephone_number": "718-444-9007",
            "fax_number": "718-531-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364614",
            "telephone_number": "718-444-9007",
            "fax_number": "718-531-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "LONNIE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.