Organization Active NPI

Treating Physician Medical Care P.C.

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1295084978
Registry record updated Sep 10, 2012
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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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
081056 Issued in NY
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

Updated by the provider on Sep 10, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 081056 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00116569MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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

Verify at the official NPI Registry.