Active NPI
Israel C Gross, DMD
- Dentist
- Monsey, NY
National Provider Identifier
1487174181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 059880
- Practice address
- 1 Fletcher Rd Apt C
Monsey, NY 10952 - Phone
- (845) 414-9672
- NPI assigned
- Jun 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 059880 | NY | Primary |
Addresses
Primary practice location
1 Fletcher Rd Apt C
Monsey, NY 10952
Mailing address
932 Chestnut Ridge Rd
Spring Valley, NY 10977-6608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059880 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1487174181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 CHESTNUT RIDGE RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109776608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FLETCHER RD APT C",
"city": "MONSEY",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-414-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "ISRAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-23",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "059880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.