Myles Grossman

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004096 Issued in NY

Practice address

2174 Hewlett Ave
Ste 202
Merrick, NY 11566-3620

Phone

(516) 379-2560

Fax

(516) 546-8845

NPI assigned

May 31, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

93.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1417950866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663620",
            "telephone_number": "516-379-2560",
            "fax_number": "516-546-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE",
            "address_2": "STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663620",
            "telephone_number": "516-379-2560",
            "fax_number": "516-546-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MYLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00985117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Pearl Greenberger, LMFT, RN, MSN, HNC
• Michael Greene, ESQ
• Ellen Diane Greenspan, PH.D.
• Esther Greif, LCSW
• Susan Groh, M.D.
• Xia Guan
• Jessica Gubenko, M.A., CFY
• Michael Guerra
• Stacey Guida
• Arun Kumar Gupta, M.D.

• Podiatrist in Merrick, NY
• Providers in Merrick, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.