Organization Active NPI

S Warren Gross MD LLC

  • Diagnostic Ultrasound Physician
  • Atco, NJ
National Provider Identifier
1396048005
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
25MA05827700 Issued in NJ
Legal business name
S WARREN GROSS MD LLC
Practice address
331 White Horse Pike
Atco, NJ 08004-2230
Phone
(856) 809-0900
Fax
(888) 268-7603
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. S Warren Gross, M.D.
Title
Owner
Phone
(610) 331-4360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 25MA05827700 NJ
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X 25MA05827700 NJ Primary

Addresses

Primary practice location

331 White Horse Pike
Atco, NJ 08004-2230

Mailing address

131 Gaither Dr Ste D
Suite D
Mount Laurel, NJ 08054-1709
Phone (856) 234-1241

National Provider Directory

National Provider Directory

Locations

331 White Horse Pike
Fl 1
Atco, NJ 08004

331 White Horse Pike
Atco, NJ 08004
Phone (856) 767-3700

131 Gaither Dr
Ste D
Mount Laurel, NJ 08054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1396048005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GAITHER DR STE D",
            "address_2": "SUITE D",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541709",
            "telephone_number": "856-234-1241",
            "fax_number": "856-234-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042230",
            "telephone_number": "856-809-0900",
            "fax_number": "888-268-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S WARREN GROSS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-331-4360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05827700",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA05827700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atco, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.