Individual provider Active NPI

Rebecca Grossman Ospital, PA-C

  • Medical Physician Assistant
  • Chevy Chase, MD
National Provider Identifier
1598947129
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002284 Issued in VA
Practice address
5454 Wisconsin Ave
1275
Chevy Chase, MD 20815-6901
Phone
(301) 941-8166
NPI assigned
Dec 5, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002284 VA Primary

Addresses

Primary practice location

5454 Wisconsin Ave
1275
Chevy Chase, MD 20815-6901

Mailing address

4835B 28TH St S
Arlington, VA 22206-1365
Phone (609) 203-1324

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002284VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology Associates,P.a. CurrentSince May 22, 2017 Accepting new patients
Bridgewater Medical Group Past Accepting new patients
Lynn McKinley-Grant, MD, PC Past Accepting new patients

Locations

106 Milford St
Ste 301
Salisbury, MD 21804
Phone (410) 546-4431

Interoperability endpoints

  • Direct secure messaging: rospital@pda2052.srs-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1598947129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835B 28TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061365",
            "telephone_number": "609-203-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-941-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN OSPITAL",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

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.

Verify at the official NPI Registry.