Active NPI
Irina Grosman, M.D.
- Therapeutic Radiology Physician
- Fort Lauderdale, FL
National Provider Identifier
1609820372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- ME 71096
- Practice address
- 4725 N Federal Hwy
Holy Cross Hospital Department of Radiation
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 492-5764
- Fax
- (954) 776-3238
- NPI assigned
- May 19, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | ME 71096 | FL | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 25MA06449800 | NJ | |
| Therapeutic Radiology Physician | 2085R0203X | 196838-1 | NY | |
| Therapeutic Radiology Physician | 2085R0203X | MD058312L | PA |
Addresses
Primary practice location
4725 N Federal Hwy
Holy Cross Hospital Department of Radiation
Fort Lauderdale, FL 33308-4603
Mailing address
405 N Ocean Blvd Apt 1501
Pompano Beach, FL 33062-5153
Phone (347) 400-0405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2743841 00 | Medicaid | FL |
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 |
|---|---|---|---|
| ME 71096 | FL | MD | Therapeutic Radiology Physician |
| 25MA06449800 | NJ | MD | Therapeutic Radiology Physician |
| 196838-1 | NY | MD | Therapeutic Radiology Physician |
| MD058312L | PA | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients | |
| Radiation Oncology Associates of Ft Lauderdale PA | Past | Accepting new patients | |
| Holy Cross Hospital, Inc | Past | Accepting new patients | |
| Radiosurgery America PC | Past | Accepting new patients | |
| Warwick Street Medical PC | Past | Accepting new patients | |
| Tampa Bay Radiation Oncology, PA | Therapeutic Radiology | Past | Accepting new patients |
| Heysek & Kepes MDS PA | Past | Accepting new patients | |
| Holy Cross Hospital Inc | Past | Accepting new patients | |
| Gilbert Lederman MD PC | Past | Accepting new patients | |
| Mercy Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- irina.grosman@direct.bayonnemedicalcenter.md
- https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/
Organizations & group practices 10
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.
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Radiation Oncology Physician
- Plant City, FL
- NPI 1386649002
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1487405718
-
- Internal Medicine Physician
- Miami, FL
- NPI 1275772469
-
- Specialist
- Fort Lauderdale, FL
- NPI 1447286745
-
- Radiation Oncology Physician
- Brandon, FL
- NPI 1376511089
Therapeutic Radiology
-
- Radiation Oncology Physician
- New York, NY
- NPI 1558313957
-
- Radiation Oncology Physician
- Bronx, NY
- NPI 1538325782
-
- Anesthesiology Physician
- New York, NY
- NPI 1770928012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1609820372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N OCEAN BLVD APT 1501",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330625153",
"telephone_number": "347-400-0405",
"fax_number": "954-785-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"address_2": "HOLY CROSS HOSPITAL DEPARTMENT OF RADIATION",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-492-5764",
"fax_number": "954-776-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSMAN",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "FL",
"license": "ME 71096",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NJ",
"license": "25MA06449800",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NY",
"license": "196838-1",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "PA",
"license": "MD058312L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2743841 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.