Individual provider Active NPI

Gayle Grossman-Alweiss, MD

  • Ophthalmology Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1376755066
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06392800 Issued in NJ
Practice address
577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8400
Phone
(201) 782-1700
Fax
(201) 782-1749
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 189971 NY
Ophthalmology Physician 207W00000X 25MA06392800 NJ Primary

Addresses

Primary practice location

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8400

Mailing address

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8400
Phone (201) 782-1700

Other identifiers 1

IdentifierTypeStateIssuer
01780872MedicaidNY

Other names 1

  • Gayle Grossman Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000569 NJ Practitioner - Ophthalmology 5890978936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Woodcliff Lake Optical LLC Ophthalmology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1376755066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778400",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778400",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN-ALWEISS",
        "first_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "189971",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06392800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01780872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "GROSSMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.