Steven Grossman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

028057-1 Issued in NY

Practice address

370 Kings Mall CT
Kingston, NY 12401-1576

Phone

(845) 336-8478

Fax

(845) 336-8607

NPI assigned

Jan 31, 2007

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

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

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.

• Steven Grossman DDS PC

  • General Practice Dentistry
  • Kingston, NY
  • NPI 1821203472
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487791117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 KINGS MALL CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011576",
            "telephone_number": "845-336-8478",
            "fax_number": "845-336-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 KINGS MALL CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011576",
            "telephone_number": "845-336-8478",
            "fax_number": "845-336-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028057-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Catherine Griffin
• Lee Ann Griggs
• Trisha Groff, DPT
• Melissa Lee Gromacki
• Matthew Grossman, DDS
• Groups Recover Together - New York LLC (Groups Recover Together)
• Lia Grover, LMSW
• Grunblatt Psychology and Counseling Offices, P.C.
• Andrea Grunblatt, PH.D.
• Diane Lynette Gualtieri, RN

• General Practice Dentistry in Kingston, NY
• Providers in Kingston, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.