Active NPI
Sheldon Warren Gross, M.D.
- Diagnostic Radiology Physician
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD008874E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4603001 | Medicaid | NJ |
Other names 1
- S. Warren Gross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05827700 | NJ | MD | Diagnostic Radiology Physician |
| MD008874E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Women of Hope Resource Center, Inc | Past | Accepting new patients | |
| Alfonso M Lamorte III DO LLC | Past | 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.
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- NPI 1962458034
-
- Cardiovascular Disease Physician
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- NPI 1851052583
-
- Diagnostic Radiology Physician
- Marlton, NJ
- NPI 1326049917
-
- Diagnostic Radiology Physician
- Cherry Hill, NJ
- NPI 1659390870
-
- Community/Behavioral Health Agency
- Atco, NJ
- NPI 1740456656
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.