NPIMap

Individual provider Active NPI

Michael L Gross, MD

  • Rheumatology Physician
  • Paramus, NJ
National Provider Identifier
1386701654
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA07100900 Issued in NJ
Practice address
1 Sears Dr Ste 306
Paramus, NJ 07652-3510
Phone
(201) 830-2287
Fax
(201) 830-2286
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA07100900 NJ Primary

Addresses

Primary practice location

1 Sears Dr Ste 306
Paramus, NJ 07652-3510

Mailing address

1 Sears Dr Ste 306
Paramus, NJ 07652-3510
Phone (201) 830-2287

Other identifiers 1

IdentifierTypeStateIssuer
038348AD7QOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000556 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 4587692173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Specialists of Northern Jersey LLCGroup PAC ID 7618247420, 8 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 830-2287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07100900NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialists of Northern Jersey LLC Rheumatology CurrentSince Jun 1, 2017 Accepting new patients

Locations

1 Sears Dr
Ste 306
Paramus, NJ 07652
Phone (201) 830-2287

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEHBD
  • Direct secure messaging: michael.gross@psonj.eclinicaldirectplus.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1386701654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 306",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523510",
            "telephone_number": "201-830-2287",
            "fax_number": "201-830-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 306",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523510",
            "telephone_number": "201-830-2287",
            "fax_number": "201-830-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA07100900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "038348AD7Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.