Active NPI
Gary Lance Gross, MD
- Allergy & Immunology Physician
- Ocean, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA04805600
- Practice address
- 802 W Park Ave
Ste 213
Ocean, NJ 07712-8526 - Phone
- (732) 695-2555
- Fax
- (732) 695-2552
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25MA04805600 | NJ | Primary |
| Allergy & Immunology Physician | 207K00000X | MA048056 | NJ |
Addresses
Primary practice location
802 W Park Ave
Ste 213
Ocean, NJ 07712-8526
Mailing address
Dept. 453 PO Box 1000
Memphis, TN 38148-0001
Phone (828) 575-2625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408400 | Medicaid | NJ | |
| 029133ZKRP | Other | NJ | MEDICARE PTAN |
| 029133ZVF5 | Other | NJ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- New York University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 W Park Ave
Suite 213
Ocean, NJ 07712-8526
Phone (732) 695-2555
Hospital & facility affiliations
- Jersey Shore University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04805600 | NJ | MD | Allergy & Immunology Physician |
| MA048056 | NJ | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners of NJ, PC | Allergy & Immunology | Current | Accepting new patients |
Locations
8 Tindall Rd
Middletown, NJ 07748
Phone (732) 671-7676
802 W Park Ave
Ste 213
Ocean, NJ 07712
Phone (732) 631-8976
553 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 836-6400
504 Hamburg Tpke
Ste B103
Wayne, NJ 07470
Phone (973) 790-6707
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Teaneck, NJ
- NPI 1467878405
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1336143247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. 453 PO BOX 1000",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W PARK AVE",
"address_2": "STE 213",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077128526",
"telephone_number": "732-695-2555",
"fax_number": "732-695-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "GARY",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA04805600",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "MA048056",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "029133ZKRP",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "029133ZVF5",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.