Active NPI
Rebecca Grossman Ospital, PA-C
- Medical Physician Assistant
- Chevy Chase, MD
National Provider Identifier
1598947129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110002284
- Practice address
- 5454 Wisconsin Ave
1275
Chevy Chase, MD 20815-6901 - Phone
- (301) 941-8166
- NPI assigned
- Dec 5, 2007
- Last updated
- Mar 12, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002284 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Dermatology Associates,P.a. | Current | 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
- 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.
-
- Specialist
- Salisbury, MD
- NPI 1437184041
-
- Procedural Dermatology Physician
- Chevy Chase, MD
- NPI 1962686204
-
- Multi-Specialty Clinic/Center
- Bridgewater, NJ
- NPI 1821031568
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.