Active NPI
Abigail M Grossman, M.D.
- Pediatrics Physician
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07066400
- Practice address
- 22 Madison Ave
Paramus, NJ 07652-2734 - Phone
- (201) 291-9797
- Fax
- (201) 291-9798
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 25MA07066400 | NJ | Primary |
Addresses
Primary practice location
22 Madison Ave
Paramus, NJ 07652-2734
Mailing address
815 Frederick CT
Wyckoff, NJ 07481-1088
Phone (201) 848-1375
Other practice location 1
177 Summit Ave
Hackensack, NJ 07601-1311
Phone (201) 487-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07066400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Summit Medical Group, Inc | Pediatrics | Past | Accepting new patients |
| Mona M Tantawi,MD,PC | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
337 N Main St
Ste 4
New City, NY 10956
Phone (845) 634-7900
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- abigail.grossman.1@2983.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Corporate Health Clinic/Center
- Hackensack, NJ
- NPI 1831264316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1083894182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 FREDERICK CT",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811088",
"telephone_number": "201-848-1375",
"fax_number": "201-848-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MADISON AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522734",
"telephone_number": "201-291-9797",
"fax_number": "201-291-9798"
}
],
"practiceLocations": [
{
"address_1": "177 Summit Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011311",
"country_code": "US",
"telephone_number": "201-487-8222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSMAN",
"first_name": "ABIGAIL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07066400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.