Seth Reuben Gross, D.C.
Individual provider Active NPI Chiropractor · Elmsford, NY
NPI 1164573382 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1164573382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6768 (NY)
- Practice address
- 64 S Central Ave
Elmsford, NY 10523-3505 - Phone
- (914) 345-6700
- Fax
- (914) 345-6025
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1509 W Stan Schlueter Loop
Killeen, TX 76549-3679
PO Box
Suite 550
Ingram, TX 78025
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260317003864 | TX | Practitioner - Chiropractic | 2961500582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16133 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 6768 | NY | MD | Chiropractor |
| X006768 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecdcemc LLC | Chiropractor | Current |
Accepting new patients |
| Elmsford Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
Locations
64 S Central Ave
Elmsford, NY 10523
Phone (914) 345-6700
1509 W Stan Schlueter Loop
Killeen, TX 76549
Phone (254) 680-7774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006768 | NY | |
| Chiropractor | 111N00000X | 6768 | NY | Yes |
Addresses
Primary practice location
64 S Central Ave
Elmsford, NY 10523-3505
Mailing address
64 S Central Ave
Elmsford, NY 10523-3505
Phone (914) 345-6700
Other providers in Elmsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.