NPIMap

Individual provider Active NPI

Steven Gross, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1144542499
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013883 Issued in NY
Practice address
130 E 77TH St
5TH Floor
New York, NY 10075-1851
Phone
(212) 737-3301
Fax
(212) 737-4876
NPI assigned
Feb 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013883 NY Primary

Addresses

Primary practice location

130 E 77TH St
5TH Floor
New York, NY 10075-1851

Mailing address

6141 Saunders St
Apt A30
Rego Park, NY 11374-1052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000009 NY Practitioner - Physician Assistant 4183753411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

535 E 70TH St
New York, NY 10021-4823
Phone (646) 797-8471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Mar 1, 2010 Accepting new patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Dec 2, 2024 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Mar 1, 2010 Accepting new patients

Locations

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

130 E 77th St
Fl 5
New York, NY 10075

535 E 70th St
New York, NY 10021

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • Direct secure messaging: steven.gross.1@11998.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1144542499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SAUNDERS ST",
            "address_2": "APT A30",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-737-3301",
            "fax_number": "212-737-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.