Jeffrey M Grossman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME64361 Issued in FL

Practice address

960 37TH PL
Suite 104
Vero Beach, FL 32960-6586

Phone

(772) 299-4046

Fax

(772) 299-0419

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1639159288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 37TH PL",
            "address_2": "SUITE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606573",
            "telephone_number": "772-299-4046",
            "fax_number": "772-299-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 37TH PL",
            "address_2": "SUITE 104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606586",
            "telephone_number": "772-299-4046",
            "fax_number": "772-299-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110225109",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4629057",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "23048",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Gritter
• Jeffrey Grochowsky, M.S.
• Dominique Gross, DMD
• Robert L Gross
• Bruce Mark Grossman, MD
• Grove Place Surgery Center ,LLC
• Michelle A Guancione, DPT
• Joseph William Guarine
• Abigail Kelly Guarnieri I, RBT
• Lillian Guerin

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.