Elliot A. Grossman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

138492 Issued in NY

Practice address

1097 Old Country Rd
Suite 101
Plainview, NY 11803-6505

Phone

(516) 935-1821

Fax

(516) 935-2823

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336223916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD",
            "address_2": "SUITE 101",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "516-935-1821",
            "fax_number": "516-935-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD",
            "address_2": "SUITE 101",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "516-935-1821",
            "fax_number": "516-935-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ELLIOT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "138492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Grillo, M.D.
• Alexa Paige Grippaldi
• Cindy Gross
• Cathleen Ann Grossfeld, M.A., CCC/SLP
• Michael Leslie Grossfeld, M.A., CCC, SLP
• Lisa Grossman, D.D.S.
• Paula Lynn Grossman, M.D.
• Michael Anthony Gruttadauria, DC, DACAN
• Jamie Gschwind
• Katelyn Guadarrama, PT, DPT

• Surgery Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.