Edward Alexander Gross, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

258996 Issued in NY

Practice address

116 Fifth Ave
Pelham, NY 10803-1504

Phone

(914) 738-0005

Fax

(914) 738-4019

NPI assigned

Oct 28, 2010

Last updated

Feb 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Doc Medical Practice of Yonkers PC

  dba Docs

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1427151075
  NPD
• Doc Medical Practice of Yonkers PC

  dba Docs

  • Internal Medicine Physician
  • Pelham, NY
  • NPI 1346393113
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1144520743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MILDRED PKWY",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042228",
            "telephone_number": "914-738-1569",
            "fax_number": "914-738-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031504",
            "telephone_number": "914-738-0005",
            "fax_number": "914-738-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "EDWARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "258996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Edward Gradilone, MSW
• Susan Nancy Greenberg, MS, PT
• Varlo Arlene Greenwich
• Gregory Gaafar NP in Psychiatry and William McKenna DC Health Service
• Gabrielle E Grimaldi, MA, ATR-BC, LCAT
• Hana Raine Gross, ATC
• Sara Haberman, LCSW
• Tyler Haims, PT
• Harbor Point at Pelham Dental, P.C.
• Adele Heib

• General Practice Physician in Pelham, NY
• Providers in Pelham, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.