Active NPI
Judith E. Grossman, O.T.R.
- Occupational Therapist
- New York, NY
National Provider Identifier
1306115589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001357-1
- Practice address
- 149 East 78TH Street
New York, NY 10075-0405 - Phone
- (212) 879-4900
- NPI assigned
- Dec 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 001357-1 | NY | |
| Community Health Worker | 172V00000X | 002216 | CT | |
| Occupational Therapist | 225X00000X | 001357-1 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 001357-1 | NY |
Addresses
Primary practice location
149 East 78TH Street
New York, NY 10075-0405
Mailing address
25 West 68TH Street
New York, NY 10023-5302
Phone (646) 505-0356
Other names 1
- Dr. Judy Grossman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001357-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1306115589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WEST 68TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235302",
"telephone_number": "646-505-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 EAST 78TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750405",
"telephone_number": "212-879-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "JUDITH",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-18",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "001357-1",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CT",
"license": "002216",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "001357-1",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001357-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "GROSSMAN",
"prefix": "DR.",
"credential": "O.T.R",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.