Active NPI
Treating Physician Medical Care P.C.
- Cardiovascular Disease Physician
- Bronx, NY
National Provider Identifier
1295084978
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 081056
- Legal business name
- TREATING PHYSICIAN MEDICAL CARE P.C.
- Practice address
- 953 Southern Blvd
Bronx, NY 10459-3428 - Phone
- (347) 590-2707
- Fax
- (347) 590-2706
- NPI assigned
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Abraham Grossman, MD
- Title
- Owner
- Phone
- (347) 590-2707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 081056 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 081056 | NY | Primary |
Addresses
Primary practice location
953 Southern Blvd
Bronx, NY 10459-3428
Mailing address
140 Riverside Blvd
Suite 811
New York, NY 10069-0608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116569 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2379 Ralph Ave
Fl 2
Brooklyn, NY 11234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1295084978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 RIVERSIDE BLVD",
"address_2": "SUITE 811",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104593428",
"telephone_number": "347-590-2707",
"fax_number": "347-590-2706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREATING PHYSICIAN MEDICAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ABRAHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-590-2707",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "081056",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "081056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116569",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.