Amy Cooper Grossberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005267 Issued in NY

Practice address

4 Oakdale LN
Roslyn Heights, NY 11577-1535

Phone

(516) 621-8330

NPI assigned

Jan 3, 2007

Last updated

May 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision World of Ridgewood Inc.

  • Optometrist
  • Ridgewood, NY
  • NPI 1831247410
  Medicare reassignment Authorized official
• Vision World of Myrtle Avenue, Inc

  • Optometrist
  • Ridgewood, NY
  • NPI 1902353212
  Medicare reassignment NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1427115633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OAKDALE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771535",
            "telephone_number": "516-621-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OAKDALE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771535",
            "telephone_number": "516-621-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER GROSSBERG",
        "first_name": "AMY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27T0000A1300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5660009",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiera Lynn Cohen, REGISTERED NURSE
• Meryl Cohen, PT
• Susan Klein Cohen, PSYCHOLOGIST PH.D.
• Ashley Marie Colavito
• Karyl Gilbert Cole, M.D.
• Pamela Cornacchia, P.A.
• Cosmetic & Laser Obs PC
• Candice Crawford
• Bridget Crespo
• Robert M. Cristal, PH.D.

• Optometrist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.