Igor Grosman DO PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

239458 Issued in NY

Legal business name

IGOR GROSMAN DO PC

Doing business as

Igor Grosman DO PC

Practice address

2676 E 65TH St
Brooklyn, NY 11234-6824

Phone

(347) 587-2723

Fax

(347) 587-2723

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Igor Grosman, MD

Title

Owner

Phone

(347) 587-2723

Specialties & licenses 1

Addresses

Other names 1

• Igor Grosman DO PC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJDCCA

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1366783417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 E 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346824",
            "telephone_number": "347-587-2723",
            "fax_number": "347-587-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 E 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346824",
            "telephone_number": "347-587-2723",
            "fax_number": "347-587-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR GROSMAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "GROSMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-587-2723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "239458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Igor Grosman DO PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.