Zachary Joel Grossman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

003029 Issued in NY

Practice address

21410 24TH Ave
Bayside, NY 11360-2219

Phone

(347) 321-4094

NPI assigned

Nov 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Project Brilliance

  • Behavior Analyst
  • Palm Beach Gardens, FL
  • NPI 1760889117
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1407323926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21410 24TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602219",
            "telephone_number": "347-321-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ZACHARY",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "003029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Greenwald, D.D.S.
• Jacqueline Ann Grenier, R.N.
• Nina Grewal, PHARMD
• Lindsay Grobman
• Tobias Groneveldt
• Leslie A. Grubler, MA, CCC-SLP,TSHH
• Paul Grunseich, D.D.S.
• Jinyan Guan, PHARMD
• Cindy Guaranda
• Roland Guirand Jr., PARAMEDIC

• Behavior Analyst in Bayside, NY
• Providers in Bayside, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.