Individual provider Active NPI

Sheldon Warren Gross, M.D.

  • Diagnostic Radiology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1285635805
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD008874E Issued in PA
Practice address
191 Presidential Blvd
Unit 217
Bala Cynwyd, PA 19004-1217
Phone
(856) 661-5473
Fax
(856) 661-5470
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05827700 NJ
Diagnostic Radiology Physician 2085R0202X MD008874E PA Primary

Addresses

Primary practice location

191 Presidential Blvd
Unit 217
Bala Cynwyd, PA 19004-1217

Mailing address

191 Presidential Blvd
Unit 217
Bala Cynwyd, PA 19004-1217
Phone (856) 231-4774

Other identifiers 1

IdentifierTypeStateIssuer
4603001MedicaidNJ

Other names 1

  • S. Warren Gross Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050707000559 NJ Practitioner - Diagnostic Radiology 4789620162 Practice locations: Voorhees, NJ
I20111214000324 PA Practitioner - Diagnostic Radiology 4789620162 Practice locations: Bala Cynwyd, PA

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 Laurel Oak Rd
Suite 301
Voorhees, NJ 08043-3518
Phone (856) 809-0900

191 Presidential Blvd
Unit 217
Bala Cynwyd, PA 19004-1217
Phone (610) 331-4360

191 Presidential Blvd Unit
Suite 217
Bala Cynwyd, PA 19004-1217

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05827700NJMDDiagnostic Radiology Physician
MD008874EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Radiology LLC Diagnostic Radiology Past Accepting new patients
Women of Hope Resource Center, Inc PastSince Feb 26, 2023 Accepting new patients
Alfonso M Lamorte III DO LLC PastSince Nov 30, 2021 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates of New Jersey PC Diagnostic Radiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1285635805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD",
            "address_2": "UNIT 217",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041217",
            "telephone_number": "856-231-4774",
            "fax_number": "856-231-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD",
            "address_2": "UNIT 217",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041217",
            "telephone_number": "856-661-5473",
            "fax_number": "856-661-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SHELDON",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05827700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD008874E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "GROSS",
            "middle_name": "WARREN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.