Active NPI
Leonard A Grossman, M.D.
- Rheumatology Physician
- Princeton, NJ
National Provider Identifier
1578600136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA03747400
- Practice address
- 419 N Harrison St
Princeton, NJ 08540-3521 - Phone
- (609) 924-9300
- Fax
- (609) 430-9481
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA03747400 | NJ | Primary |
Addresses
Primary practice location
419 N Harrison St
Princeton, NJ 08540-3521
Mailing address
419 N Harrison St
Princeton, NJ 08540-3521
Phone (609) 924-9300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0419803000 | Other | AMERIHLTH IBC PCP SPEC. | |
| 1547974 | Other | UNITED HEALTH CARE | |
| 160052226 | Other | RAILROAD MEDICARE | |
| P441630 | Other | OXFORD PCP | |
| 854535 | Other | AETNA PCP | |
| 1651404 | Medicaid | NJ | |
| 597405 | Other | AMERIHLTH ADMIN PCP SPEC | |
| 2195157 | Other | AETNA SPECIALTY | |
| P1308108 | Other | OXFORD SPECIALTY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03747400 | NJ | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-Pharmacy Dispensing Site
- Plainsboro, NJ
- NPI 1144617937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1578600136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403521",
"telephone_number": "609-924-9300",
"fax_number": "609-430-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403521",
"telephone_number": "609-924-9300",
"fax_number": "609-430-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LEONARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA03747400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHLTH IBC PCP SPEC.",
"identifier": "0419803000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1547974",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160052226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PCP",
"identifier": "P441630",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PCP",
"identifier": "854535",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1651404",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHLTH ADMIN PCP SPEC",
"identifier": "597405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALTY",
"identifier": "2195157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD SPECIALTY",
"identifier": "P1308108",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.