Individual provider Active NPI

Lauren Dara Grossman, DPM

  • Podiatrist
  • Closter, NJ
National Provider Identifier
1467757294
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00310200 Issued in NJ
Practice address
10 McKinley St Ste 15
Closter, NJ 07624-2726
Phone
(201) 979-3050
Fax
(469) 259-7524
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00310200 NJ Primary

Addresses

Primary practice location

10 McKinley St Ste 15
Closter, NJ 07624-2726

Mailing address

10 McKinley St Ste 15
Closter, NJ 07624-2726
Phone (201) 979-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20160720002217 NJ Practitioner - Podiatry 4587957055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Englewood NJ PCGroup PAC ID 5991880247, 2 clinicians

Practice addresses (Care Compare)

10 McKinley St
Suite 15
Closter, NJ 07624-2726
Phone (201) 979-3050

363 Grand Ave
Englewood, NJ 07631-4104
Phone (201) 568-6977

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions90
Removal of nail tissue647
Removal or shaving of skin growth514
Skin biopsy228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00310200NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grossman F & a PC CurrentSince Nov 11, 2025 Accepting new patients
Podiatry Associates of Englewood NJ PC Podiatrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

10 McKinley St
Ste 15
Closter, NJ 07624
Phone (201) 784-1900

363 Grand Ave
Englewood, NJ 07631
Phone (201) 568-5936

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1467757294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCKINLEY ST STE 15",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242726",
            "telephone_number": "201-979-3050",
            "fax_number": "469-259-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKINLEY ST STE 15",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242726",
            "telephone_number": "201-979-3050",
            "fax_number": "469-259-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "LAUREN",
        "middle_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00310200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.