Organization Active NPI

Martin B Grossman MD PA

  • Specialist
  • Aventura, FL
National Provider Identifier
1508054255
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0027694 Issued in FL
Legal business name
MARTIN B GROSSMAN MD PA
Practice address
20950 NE 27TH CT
Ste 302
Aventura, FL 33180-1232
Phone
(305) 936-2565
Fax
(305) 936-1946
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Mrs. Alice Grossman
Title
Office Cordinator
Phone
(305) 936-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0027694 FL Primary

Addresses

Primary practice location

20950 NE 27TH CT
Ste 302
Aventura, FL 33180-1232

Mailing address

20950 NE 27TH CT
Ste 302
Aventura, FL 33180-1232
Phone (305) 936-2565

National Provider Directory

National Provider Directory

Locations

20950 NE 27th Ct
Ste 302
Miami, FL 33180
Phone (305) 501-2000

21097 NE 27th Ct
Ste 210
Miami, FL 33180
Phone (305) 328-9557

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1508054255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT",
            "address_2": "STE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-936-2565",
            "fax_number": "305-936-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT",
            "address_2": "STE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-936-2565",
            "fax_number": "305-936-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN B GROSSMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OFFICE CORDINATOR",
        "authorized_official_telephone_number": "305-936-2565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.