Active NPI
Gayle Grossman-Alweiss, MD
- Ophthalmology Physician
- Woodcliff Lake, NJ
National Provider Identifier
1376755066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA06392800
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01780872 | Medicaid | NY |
Other names 1
- Gayle Grossman
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110518000569 | NJ | Practitioner - Ophthalmology | 5890978936 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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"
}
]
}
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- Rachel Ann Herron, LCSW
- William George Herron, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.