Anthony Philip Gross, AGACNP-BC, CNP, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2307165 Issued in MA

Practice address

150 S Huntington Ave
Jamaica Plain, MA 02130-4817

Phone

(857) 364-6020

Fax

(844) 810-9969

NPI assigned

Apr 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1619505773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FREDERICK ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784410",
            "telephone_number": "617-466-9841",
            "fax_number": "844-810-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "857-364-6020",
            "fax_number": "844-810-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ANTHONY",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC, CNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2307165",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2307165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Griffin, CF-SLP
• Melanie Griffin
• Susan Grimmo
• Michael Grinnell
• Latiaya Lanee Grooms, BA
• Jacqueline Gross
• Lisa Marie Grossi, RN, MS, CPNP
• Guardian Healthcare, LLC
• Ariane Guasconi, LICSW
• Alexandra M Gudlevich, MOT, OTR/L

• Nurse Practitioner in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.