Active NPI
Heather Grossman, MD
- Pediatric Hospice and Palliative Medicine Physician
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hospice and Palliative Medicine Physician
- License
- 25MA07648300
- Practice address
- 19 Davis Ave FL 5
Neptune, NJ 07753-4488 - Phone
- (732) 776-3892
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 25MA07648300 | NJ | Primary |
Addresses
Primary practice location
19 Davis Ave FL 5
Neptune, NJ 07753-4488
Mailing address
19 Davis Ave FL 5
Neptune, NJ 07753-4488
Phone (732) 776-3892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217835 | NY | MD | Licensed Practical Nurse |
| 25MA07648300 | NJ | MD | Pediatric Hospice and Palliative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatric Hematology-Oncology | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
19 Davis Ave
Fl Pedi
Neptune, NJ 07753
19 Davis Ave
Fl 5
Neptune City, NJ 07753
Phone (732) 776-4860
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- heather.grossman@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
Pediatric Hematology-Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1093781387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 5",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-776-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 5",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-776-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "NJ",
"license": "25MA07648300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.