NPIMap

Individual provider Active NPI

Harvey Robert Gross, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Englewood, NJ
National Provider Identifier
1407897689
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25MA03205500 Issued in NJ
Practice address
370 Grand Ave
Suite 102
Englewood, NJ 07631-4154
Phone
(201) 567-3370
Fax
(201) 816-1265
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03205500 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA03205500 NJ Primary

Addresses

Primary practice location

370 Grand Ave
Suite 102
Englewood, NJ 07631-4154

Mailing address

370 Grand Ave Ste 102
Englewood, NJ 07631-4109
Phone (201) 567-3370

Other identifiers 2

IdentifierTypeStateIssuer
069663L4SOtherPTAN
3021700MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000090 NJ Practitioner - Family PracticePractitioner - Geriatric Medicine 3678475597 Reassigns benefits to 1 organization
I20090526000180 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 3678475597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Boston University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

10 Link Dr
Rockleigh, NJ 07647-2504
Phone (201) 784-1414

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

370 Grand Ave
Englewood, NJ 07631-4109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110152NYMDSocial Worker
25MA03205500NYMDFamily Medicine Physician
25MA03205500NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2016 Accepting new patients
Jewish Home at Rockleigh Past Accepting new patients
Rockland Cardiology PC PastSince Sep 1, 2013 Accepting new patients

Locations

370 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 567-3370

370 Grand Ave
Englewood, NJ 07631
Phone (201) 567-3370

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

10 Link Dr
Rockleigh, NJ 07647
Phone (201) 568-0033

640 Oak Tree Rd
Palisades, NY 10964
Phone (201) 567-3370

2 Crosfield Ave
Ste 407
West Nyack, NY 10994
Phone (845) 353-5050

Interoperability endpoints

  • Direct secure messaging: drgross@primarycarenj.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jewish Home at RockleighRockleigh, NJ, CCN 315473 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jan 1, 2001
Jan 16, 2025
Complete Care at Inglemoor LLCEnglewood, NJ, CCN 315349 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 21, 2021
Jul 21, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1407897689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314109",
            "telephone_number": "201-567-3370",
            "fax_number": "201-816-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-567-3370",
            "fax_number": "201-816-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "HARVEY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "25MA03205500",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA03205500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "069663L4S",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.