Active NPI
Michelle Grosso, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- Danbury, CT
National Provider Identifier
1629345053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 001966
- Practice address
- 107 Newtown Rd Ste 2C
Danbury, CT 06810 - Phone
- (203) 791-9661
- Fax
- (203) 730-4162
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001966 | CT | Primary |
Addresses
Primary practice location
107 Newtown Rd Ste 2C
Danbury, CT 06810
Mailing address
107 Newtown Rd Ste 2C
Danbury, CT 06810-4151
Phone (203) 791-9661
Other practice location 1
148 East Ave
Suite 1E
Norwalk, CT 06851-5721
Phone (203) 855-0167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- JS Weill Medical College, Cornell University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700
Hospital & facility affiliations
- New York-Presbyterian Hospital
- Danbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1966 | CT | MD | Behavioral Analyst |
| 001966 | CT | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Connecticut Vascular Center, LLC | Past | Accepting new patients | |
| Advanced Audiology & Hearing Aid Services | Past | Accepting new patients |
Interoperability endpoints
- michelle.grossopac.p1@direct.asc.nextgenshare.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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Danbury, CT
- NPI 1053340943
-
- Audiologist
- Danbury, CT
- NPI 1861677031
-
- Vascular Surgery Physician
- Stratford, CT
- NPI 1033318175
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1629345053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NEWTOWN RD STE 2C",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104151",
"telephone_number": "203-791-9661",
"fax_number": "203-730-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NEWTOWN RD STE 2C",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-791-9661",
"fax_number": "203-730-4162"
}
],
"practiceLocations": [
{
"address_1": "148 East Ave",
"address_2": "Suite 1E",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068515721",
"country_code": "US",
"telephone_number": "203-855-0167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSO",
"first_name": "MICHELLE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.