John Ben Gross, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

008581-1 Issued in NY

Practice address

214 Quaker Ridge Rd
New Rochelle, NY 10804-2805

Phone

(914) 834-8000

Fax

(914) 834-8800

NPI assigned

Jun 8, 2007

Last updated

May 7, 2020By the provider in NPPES

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Immutech-Midatlantic, LLC

  • Family Nurse Practitioner
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  • NPI 1740874627
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1447453139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HICKORY GROVE DR E",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381707",
            "telephone_number": "914-834-8800",
            "fax_number": "914-834-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 QUAKER RIDGE RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042805",
            "telephone_number": "914-834-8000",
            "fax_number": "914-834-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JOHN",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008581-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01093498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Arthur Greene, PH.D.
• Keonna Greenidge
• Joel Gary Greenspan, MD
• Greg Seinfeld DDS
• Jerome a A Gristina, MD
• Group Home Solutions LLC
• David Samuel Gruen
• Richard Anthony Gruffi, DDS
• Tania Grullon
• Guadalupe Intervention, Inc.

• Psychologist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.